Expert Care, Centered Around You
Our providers believe the best care begins with understanding the whole person, not simply treating a list of symptoms. MiPCA offers a personalized approach that brings together clinical expertise, careful evaluation, and meaningful provider-patient relationships.
We work with you to create a care experience that feels clear, collaborative, and tailored to your individual health goals.
Dr. Michael Ducato, M.D., P.C.
Dr. Ducato is a Board Certified Family Medicine Physician who has over a decade of medical experience His training began with successful completion of undergraduate studies in biology at Wayne State University in Detroit. After which, he completed his medical school training at St. George’s University in Grenada. From there, he underwent a transitional year of General Surgery training at St. John Medical Center in Detroit prior to successfully completing his Family Practice residency at Resurrection Hospital in Chicago, Illinois. His areas of interest include primary care, weight management, and mental health.
While he is not practicing medicine he enjoys spending time with his family, engaging in physical exercise, cooking and entertaining with friends and family.
Michelle Samarian-Ducato
Michelle Samarian-Ducato is a board-certified Physician Assistant who completed her Master’s Degree in Physician Assistant Studies at Wayne State University. Her years of experience as a Dermatology PA have cultivated a deep passion for providing patients with a compassionate, individualized approach to skin health and anti-aging.
Michelle’s focus is skin health and rejuvenation, with a goal of enhancing each patient’s natural beauty in the most subtle and impactful way. She believes this is best achieved through personalized, long-term treatment plans, and she values the lasting relationships that develop as a result.
Committed to continual learning, Michelle attends various conferences annually and regularly updates her skills and techniques to ensure the safest and best possible outcomes for her patients.
Born and raised in Southeast Michigan, Michelle enjoys spending time with her husband, Dr. Ducato, and their two daughters, Lucine and Taline — the inspiration behind the name LTD Aesthetics and Wellness.
Kristine Balavitch
Kristine Balavitch is a nationally certified physician assistant with a special interest in women’s health. She completed her Bachelor of Science in Psychology with a minor in Biology at the University of Michigan, Ann Arbor. She then earned her Master of Science in Physician Assistant Studies at Eastern Michigan University. She has most recently practiced in reproductive health and urgent care. She is certified by the National Commission for Certification of Physician Assistants.
Kristine lives in Riverview with her husband. When not spending time with family and friends, she enjoys reading, cycling, yoga, and baking. She looks forward to meeting you.
Brittany Craig
A native to Southeast Michigan, Brittany brings her mid-western mentality of hard working, community focused, and overall hospitable nature to every patient encounter. She recently moved back to Michigan from Texas in the summer of 2025 where she was previously practicing in outpatient pediatrics for 2 years.
She graduated from Wayne State University in Detroit in 2017 with a Bachelor of Science in Psychology. During her undergraduate studies, she also was a full-time student athlete and played volleyball for WSU. At Wayne State, she later went on to complete a Master of Science in Physician Assistant Studies in May of 2022. Prior to moving to Texas, she worked at the University of Michigan Hospital for one year in outpatient Family Medicine where she developed a strong passion for treating families as a whole. Having a psychology background, Brittany has a strong interest in diagnosing and treating psychiatric-related illnesses along with her love for seeing and treating children with her experience in pediatrics.
Outside of clinic, you can find Brittany heavily involved in her local church as her husband is a pastor, and she also serves as the Kids Ministry Director. It is safe to say children hold a special place in her heart! She has been married to her high school sweetheart for over 6 years, has a 2-year-old son named Beau and a newborn son named Jace that she loves dearly, along with two rescue pitbulls that she adopted from shelters in Detroit. For fun, she loves to travel, hike, read, play with her dogs, visit family, and she is always up for a new adventure. Brittany is fluent in American Sign Language (ASL), and would be happy to see any Deaf or Hard of Hearing patients.
Hannah Knio
Hannah Knio, PA-C, is a board-certified Physician Assistant certified by the National Commission on Certification of Physician Assistants (NCCPA). She earned both her Bachelor of Science and Master of Science in Physician Assistant Studies from the University of Detroit Mercy, graduating summa cum laude.
Before beginning her university education, Hannah spent four years living and studying in Nanjing, China, where she became proficient in Mandarin Chinese and attended Nanjing International School. During her clinical training, she gained experience in a variety of medical specialties, including an international rotation at Ming Ji Hospital in Nanjing.
As a Michigan native, Hannah is passionate about serving the community she calls home. She is committed to providing compassionate, evidence-based primary care and believes in building lasting relationships with her patients through trust, open communication, and personalized treatment. Her goal is to empower patients to take an active role in their health while delivering high-quality, patient-centered care at every stage of life.
Outside of the office, Hannah enjoys traveling, staying active through exercise, spending time with her family, playing Gaelic football and Irish step dancing.
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