Kate Lynette Cvetkovski
Physician Assistant in Bloomfield Hills, MI. Individual provider (NPI-1).
NPI number1336755156
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1336755156
- Entity type
- Individual (NPI-1)
- Name
- Kate Lynette Cvetkovski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2020
- Certification date
- Sep 17, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010221 | MI | Yes |
| 363AM0700X | Physician Assistant, Medical | 5601010221 | MI |
Practice location
4050 W Maple RdBloomfield Hills, MI 48301-3148
Phone 248-885-8211
Mailing address
55772 Woodridge DrShelby Twp, MI 48316-1037
Phone 248-495-2154
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All 33 Physician Assistant providers in Bloomfield Hills · All 1,712 providers in Bloomfield Hills
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