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Kathryn Marie Poulos
Physician Assistant in Plymouth, Michigan
NPI 1083988323

Kathryn Marie Poulos is a Physician Assistant based in Plymouth, MI. Kathryn Marie Poulos practices in Plymouth, MI. The NPI Number for Kathryn Marie Poulos is 1083988323 and holds a License No. 5601006317 (Michigan).

The current practice location address for Kathryn Marie Poulos is 9377 N Haggerty Rd, Plymouth, MI and can be reached out via phone at 734-451-0070 and via fax at 734-451-1583. You can also correspond with Kathryn Marie Poulos through the mailing address at 9377 N HAGGERTY RD, PLYMOUTH, MI - 48170-4622 (mailing address contact number: 734-451-0070).

Location: 9377 N Haggerty Rd, Plymouth, MI, 48170-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083988323
Provider Name
Kathryn Marie Poulos
Credential
Provider Entity Type
Individual
Gender
Female
Address
9377 N Haggerty Rd, Plymouth, MI, 48170-4622
Phone Number
734-451-0070
Fax Number
734-451-1583
Provider Enumeration Date
03/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601006317 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
9377 N Haggerty Rd
City
Plymouth
State
Michigan
Zip
48170
Phone Number
734-451-0070
Fax Number
734-451-1583
person
Provider Business Mailing Address Details
Address
9377 N Haggerty Rd
City
Plymouth
State
Michigan
Zip
48170-4622
Phone Number
734-451-0070
Fax Number
734-451-1583
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601006317 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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