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1386262574
KRISTEN CASSIDY WELLMAN PATEL
JACKSON, MI
NPI
1386262574
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Former Name
KRISTEN CASSIDY WELLMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009465)
Enumeration Date
2020-07-14
Last Update Date
2022-09-23
Business Address
KRISTEN CASSIDY WELLMAN PATEL PA-C
1111 TENEYCK ST STE 100
JACKSON, MI 49201-2493
Phone number: 517-205-8940
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Mailing Address
KRISTEN CASSIDY WELLMAN PATEL PA-C
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 313-874-4806
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