Individual
MELISSA MARIE MOZDZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
19355 ACORN LN, CLINTON TOWNSHIP, MI 48038-4989
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601003862
MI
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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