Individual
MISS MARISSA MCCLEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1675 LEAHY ST STE 401A, MUSKEGON, MI 49442-5547
(231) 727-4243
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 728-1663
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008789
MI
Other
Enumeration date
09/28/2018
Last updated
09/09/2019
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