Mrs Kimberly T Cantillon, PA | |
39450 W 12 Mile Rd, Novi, MI 48377-3600 | |
(313) 461-4632 | |
Not Available |
Full Name | Mrs Kimberly T Cantillon |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 39450 W 12 Mile Rd, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740218999 | NPI | - | NPPES |
5301004760 | Other | MI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 5601004760 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly T Cantillon, PA 39450 W 12 Mile Rd, Novi, MI 48377-3600 Ph: (313) 461-4632 | Mrs Kimberly T Cantillon, PA 39450 W 12 Mile Rd, Novi, MI 48377-3600 Ph: (313) 461-4632 |
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