Individual provider · Type 1 NPI

Carole Vandyke, P.A.

Physician Assistant · Detroit, MI

NPI number 1114997228 Active

Practice location

261 Mack Ave
Detroit, MI 48201-2417

Fax (313) 745-2376

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601002838 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114997228

Carole Vandyke, P.A.'s National Provider Identifier is 1114997228, issued on Jan 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Jan 8, 2009.