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1942869300
LAURA DOROTHY KONSITZKE
DETROIT, MI
NPI
1942869300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009074)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
Miss LAURA DOROTHY KONSITZKE PA-C
22201 MOROSS RD STE 380
DETROIT, MI 48236-2176
Phone number: 877-784-3667
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Mailing Address
Miss LAURA DOROTHY KONSITZKE PA-C
38136 KLARR DR
NORTHVILLE, MI 48167-9036
Phone number: 248-880-8638
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