Individual
MELISSA MAZUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2865 WEST RD STE 1, TRENTON, MI 48183-2479
(734) 992-5252
Mailing address
11137 KATHERINE ST, TAYLOR, MI 48180-4245
(734) 231-0531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010759
MI
Other
Enumeration date
09/27/2021
Last updated
09/30/2021
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