Individual
MRS. MARY LYNN MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5256
(734) 936-4000
Mailing address
3621 S STATE ST, 700 PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003795
MI
Other
Enumeration date
02/08/2007
Last updated
02/23/2012
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