Doctor Name: | MRS. GARWAI CHAN INSCO |
NPI Number: | 1023166790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S PA-C |
License Number: | 5601003820 |
Business Practice Address: | 3601 W 13 Mile Rd Royal Oak, MI - 480736712 |
Business Phone Number: | 2488981874 |
Business Fax Number: | |
Mailing Address: | 17539 Devonshire St, RIVERVIEW |
State: | MI |
Postal Code: | 481937612 |
Phone Number: | 7343774654 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601003820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |