Individual
MRS. MELISSA COURTNEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
47601 GRAND RIVER AVE STE C202, NOVI, MI 48374-1204
(248) 465-5955
(248) 465-4864
Mailing address
22250 PROVIDENCE DR STE 705, SOUTHFIELD, MI 48075-6215
(248) 465-5955
(248) 465-4864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2018
Last updated
07/25/2022
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