NICOLE ROSE KNISLEY

CANTON, MI
NPI1194011320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601006025)
Enumeration Date2011-06-27
Last Update Date2014-07-28
Business Address
-- NICOLE ROSE KNISLEY PA-C
1600 S CANTON CENTER RD #140
CANTON, MI 48188-1992
Phone number: 734-398-7561
Mailing Address
-- NICOLE ROSE KNISLEY PA-C
1600 S CANTON CENTER RD #140
CANTON, MI 48188-1992
Phone number: 734-398-7561
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