Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Struble, PA-C

Individual provider Physician Assistant · NPI 1790315877

Kristen Struble, PA-C is a Physician Assistant in West Bloomfield, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 661-6466
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 47601 Grand River Ave, Novi, MI 48374-1233 — (248) 465-4311

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009782 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601009782 (MI)

Record details

NPI number1790315877
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2020
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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