KATE MERYL SUPIANOSKI

EAST LANSING, MI
NPI1679767222
Former NameKATE MERYL SHARPHORN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601005114)
Enumeration Date2007-08-28
Last Update Date2016-06-09
Business Address
-- KATE MERYL SUPIANOSKI PA
4660 S HAGADORN RD STE 420
EAST LANSING, MI 48823
Phone number: 517-884-6100
Mailing Address
-- KATE MERYL SUPIANOSKI PA
804 SERVICE RD A201
EAST LANSING, MI 48824-7015
Phone number: 517-884-2976
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