Individual
DEANN MARGARET MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 333-4887
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 333-4887
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
363A00000X
Physician Assistant
Primary
5601011963
MI
Other
Enumeration date
06/10/2019
Last updated
06/24/2025
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