Individual
MELISSA MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22260 GARRISON ST, DEARBORN, MI 48124-2208
(313) 563-6000
Mailing address
17948 AUTUMN LN, MACOMB, MI 48044-2713
(586) 322-8004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007488
MI
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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