Individual
MRS. MELISSA JEANNE RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31500 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4367
(248) 723-6200
(248) 723-6671
Mailing address
31500 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4367
(248) 723-6200
(248) 723-6671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004516
MI
Other
Enumeration date
10/17/2006
Last updated
02/04/2009
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