BEGIN:VCARD VERSION:3.0 FN:Synthia Karpack\, PA-C N:Karpack;Synthia;;;PA-C TITLE:Physician Assistant TEL;TYPE=WORK,VOICE:+12486616450 URL:https://www.gale.care/providers/mi/w-bloomfield/synthia-karpack-pa-c-11 24174792 NOTE:NPI 1124174792. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1124174792 END:VCARD