Individual
ANNE MANDAPATHIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23694 PADDOCK DR, FARMINGTON HILLS, MI 48336-2226
(248) 595-5233
Mailing address
23694 PADDOCK DR, FARMINGTON HILLS, MI 48336-2226
(248) 595-5233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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