KATHRYN AGNES FAHLSTROM

ANN ARBOR, MI
NPI1487936886
Former NameKATHRYN AGNES MOORADIAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006020)
Enumeration Date2011-09-13
Last Update Date2022-10-04
Business Address
KATHRYN AGNES FAHLSTROM PA-C
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
Mailing Address
KATHRYN AGNES FAHLSTROM PA-C
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299