NPI 1043747082

Tatiana Patke

Practitioner Physician Assistant West Bloomfield, MI

Practice location

Address: 6777 W Maple Rd, West Bloomfield, MI 48322
Phone: (800) 653-6568
Mailing address: 2673 John Warren Dr, West Bloomfield, MI 48324-2138

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601008205 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1043747082
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2017
Record last updated: 22 Aug 2018

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.