Kristin Dicello, PA-C Valid NPI

Individual provider · Physician Assistant · Novi, MI

NPI

1912444142

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5601008080 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2017-01-26

Last updated

2017-01-26