KELLY BANNASCH, PA-C

PA-C

Medical Physician Assistant

NPI: 1043330889Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

5601002420(MI)

Contact & Hours

Address: 6071 W OUTER DR
DETROIT, MI 48235
Phone: (313) 966-8559

Quick Facts

NPI: 1043330889
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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