Individual
REMA PALISSERY MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
41267 SCARBOROUGH LN, NOVI, MI 48375-2892
(248) 987-6252
Mailing address
41267 SCARBOROUGH LN, NOVI, MI 48375-2892
(248) 987-6252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601005227
PHYSICIAN'S ASSISTANT LINCENSE
MI
Enumeration date
07/02/2008
Last updated
03/01/2010
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