CAROL LYNN PIESIK

JACKSON, MI
NPI1457306987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003005)
Enumeration Date2006-05-23
Last Update Date2008-03-14
Business Address
-- CAROL LYNN PIESIK PA
110 N ELM AVE
JACKSON, MI 49202-3571
Phone number: 517-788-6760
Mailing Address
-- CAROL LYNN PIESIK PA
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-841-6913
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