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Contact Information

MICHELLE K KUT, P.A.-C
25599 KELLY RD
SUITE A
ROSEVILLE, MI48066-4975
 Phone: 586-772-6000
 Fax: 586-772-7700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE K KUT · (Female)

NPI # 1508916800
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 01/11/2007
Last updated 10/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003976
  • MI Other 5601003976 PHYSICIAN ASST LICENSE
  • MI Other CD7957 RAILROAD MEDICARE
  • MI Other CD7959 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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