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Individual
VICKI R MENDELSON
Active
Individual
VICKI R MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006408
MI
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/16/2012
Last updated
10/11/2022
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