Individual
MERRIS MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-5111
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009878
MI
Other
Enumeration date
06/30/2020
Last updated
11/19/2020
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