NPI 1043036932

Skylar Raitt

Practitioner Physician Assistant Northville, MI

Practice location

Address: 133 W Main St STE 251, Northville, MI 48167-1575
Phone: (248) 963-5915
Fax: (248) 278-4854
Mailing address: 3806 Island Park Dr, Waterford, MI 48329-1906

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601012903 (MI)

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Registry record

NPI: 1043036932
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2024
Record last updated: 1 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.