person
Kate Meryl Supianoski, PA
Medical Physician Assistant in East Lansing, Michigan
NPI 1679767222

Kate Meryl Supianoski is a Medical Physician Assistant based in East Lansing, MI and is specialized in Medical. Kate Meryl Supianoski practices in East Lansing, MI and has the professional credentials of PA. The NPI Number for Kate Meryl Supianoski is 1679767222 and holds a License No. 5601005114 (Michigan).

The current practice location address for Kate Meryl Supianoski is 4660 S Hagadorn Rd, East Lansing, MI and can be reached out via phone at 517-884-6100 and via fax at 517-884-6233. You can also correspond with Kate Meryl Supianoski through the mailing address at 804 SERVICE RD, EAST LANSING, MI - 48824-7015 (mailing address contact number: 517-884-2976).

Location: 4660 S Hagadorn Rd, East Lansing, MI, 48824-7015
person
Provider Profile Details
NPI Number
1679767222
Provider Name
Kate Meryl Supianoski
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4660 S Hagadorn Rd, East Lansing, MI, 48824-7015
Phone Number
517-884-6100
Fax Number
517-884-6233
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679767222 05 MI
institution
Provider Business Practice Location Address Details
Address
4660 S Hagadorn Rd
City
State
Zip
48823
Phone Number
517-884-6100
Fax Number
517-884-6233
person
Provider Business Mailing Address Details
Address
4660 S Hagadorn Rd
City
State
Zip
48823
Phone Number
517-884-6100
Fax Number
517-884-6233
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601005114 (Michigan)
Definition
Definition to come...
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