Individual
EMILY MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7125 ORCHARD LAKE RD STE 100, WEST BLOOMFIELD, MI 48322
(248) 865-7444
Mailing address
7125 ORCHARD LAKE RD STE 101, WEST BLOOMFIELD, MI 48322-3616
(248) 865-7481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007787
MI
Other
Enumeration date
06/09/2016
Last updated
02/01/2019
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