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1740367036
KRISTI A TESARZ
SOUTHFIELD, MI
NPI
1740367036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004922)
Enumeration Date
2006-11-01
Last Update Date
2014-03-31
Business Address
-- KRISTI A TESARZ pa c
26206 W 12 MILE RD STE 202
SOUTHFIELD, MI 48034-8500
Phone number: 248-827-7612
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Mailing Address
-- KRISTI A TESARZ pa c
1544 OLD BRIDGE CT
CANTON, MI 48188-1241
Phone number: 734-394-1671
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