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1023235520
KELLY MCINTOSH
WEST BLOOMFIELD, MI
NPI
1023235520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004080)
Enumeration Date
2007-04-19
Last Update Date
2021-02-15
Business Address
Mrs. KELLY MCINTOSH PA-C
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-325-1000
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Mailing Address
Mrs. KELLY MCINTOSH PA-C
324 N HARVEY ST
PLYMOUTH, MI 48170-1223
Phone number:
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