Individual provider · Type 1 NPI

Kate Meryl Supianoski, PA

Medical Physician Assistant · East Lansing, MI

NPI number 1679767222 Active

Practice location

4660 S Hagadorn Rd, Ste 420
East Lansing, MI 48823

Fax (517) 884-6233

Mailing address

804 Service Rd, A201
East Lansing, MI 48824-7015

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005114 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1679767222

Kate Meryl Supianoski, PA's National Provider Identifier is 1679767222, issued on Aug 28, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Lansing, MI. The record was last updated on Jun 9, 2016.