Individual
MELISSA LYNNE GLASSER-EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-0473
Mailing address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-0473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019683
NORTHERN HEALTH PLAN
MI
Enumeration date
01/03/2006
Last updated
11/19/2012
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