KIMBERLY MIX

DETROIT, MI
NPI1285753004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: MI  5601002397)
Enumeration Date2007-03-29
Last Update Date2009-03-26
Business Address
KIMBERLY MIX PA-C
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
Mailing Address
KIMBERLY MIX PA-C
6071 W OUTER DR SGR OBGYN 5TH FL
DETROIT, MI 48235
Phone number: 313-966-3246
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