Individual provider · Type 1 NPI
Terenia A. Custer, PA-C
Medical Physician Assistant · Sterling Heights, MI
NPI number
1124204896
Active
Practice location
14460 Lakeside Cir Ste 100
Sterling Heights, MI 48313-1345
Fax (586) 685-3286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601005174 (MI) |
| Physician Assistant | 363A00000X | 5601005174 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1124204896
Terenia A. Custer, PA-C's National Provider Identifier is 1124204896, issued on Jan 12, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sterling Heights, MI. The record was last updated on Jan 17, 2019.