Individual
EMILY ANNE MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 576-8930
Mailing address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 576-8930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008316
MI
Other
Enumeration date
10/12/2017
Last updated
11/01/2024
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