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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. COLETTE MARIE ICASIANO CLAYTON, M.S., P.A.-C

Active Sole Proprietor

MS. COLETTE MARIE ICASIANO CLAYTON, M.S., P.A.-C is a Physician Assistant healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1639688393 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1639688393
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2017 (8.8425454863983 yrs)
Last Updated
Sep 1, 2022
License
5601008354 (MI)
Sole Proprietor
Yes

Practice Information

Address
39621 GARFIELD RD
CLINTON TOWNSHIP, MI, 480384302
Browse MI providers · Browse ZIP 48038
Phone
5862265555
Fax
5862264441
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CLINTON TOWNSHIP, MI

Name Credential NPI
KELLY A SCHWEIGER P.A.-C 1104828177
JAMES ALISTER KNAUER PAC 1861445488
ANGELA K IANITELLI PA-C 1457418154
MRS. HELEN VICTORIA HRANCHOOK-EHARDT P.A. - C 1386828887
MAJA MALONEY PA-C 1346487709
SHERI L WHITE PA 1780811240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.