Individual provider · Type 1 NPI

Renae K. McConnell, PA-C

Medical Physician Assistant · Farmington Hills, MI

NPI number 1780664474 Active

Practice location

28080 Grand River Ave, Suite 300W
Farmington Hills, MI 48336-5966

Call (248) 615-7300 Map

Fax (248) 615-7333

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003985 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1780664474

Renae K. McConnell, PA-C's National Provider Identifier is 1780664474, issued on Jan 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington Hills, MI. The record was last updated on Nov 17, 2020.