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1578742367
KATHERINE I. WIDMARK
FLINT, MI
NPI
1578742367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601005087)
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
Ms. KATHERINE I. WIDMARK PAC
1 HURLEY PLZ
FLINT, MI 48503-5902
Phone number: 810-257-9000
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Mailing Address
Ms. KATHERINE I. WIDMARK PAC
1 HURLEY PLZ 5TH FLOOR S.O.N.
FLINT, MI 48503-5902
Phone number: 810-762-7038
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