Individual
JANELLE MAUREEN MIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44199 DEQUINDRE RD STE 315, TROY, MI 48085-1128
(248) 964-1160
Mailing address
587 RIDGEWOOD RD, ROCHESTER, MI 48306-2647
(248) 431-6742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009411
MI
Other
Enumeration date
03/28/2019
Last updated
10/23/2020
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