Individual
MRS. MELINDA MARY BOBCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4128
Mailing address
22933 DOREMUS ST, SAINT CLAIR SHORES, MI 48080-2749
(586) 779-5119
(586) 779-5119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003710
MI
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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