Individual provider · Type 1 NPI
Kelly Renet Dale, P.A.
Medical Physician Assistant · Sandusky, MI
NPI number
1952468530
Active
Practice location
416 Woodland Dr
Sandusky, MI 48471-1047
Fax (810) 682-4026
Mailing address
2690 Germania Rd
Marlette, MI 48453-8965
Other practice locations
- 150 Plymouth Rd, Saginaw, MI 48638-7135 · (989) 323-3863
- 154 S Main St Ste 6, Frankenmuth, MI 48734-1692 · (989) 502-1122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003127 (MI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1952468530
Kelly Renet Dale, P.A.'s National Provider Identifier is 1952468530, issued on Jan 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sandusky, MI. The record was last updated on Nov 19, 2024.