Individual
PAMELA LOUISE MARKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4260 PLYMOUTH ROAD, ANN ARBOR, MI 48109
(734) 647-5650
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704203397
MI
363LF0000X
Family Nurse Practitioner
4704203397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774593720
—
MI
Enumeration date
09/27/2006
Last updated
12/27/2018
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