Individual
ANITA A PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15979 HALL RD, MACOMB, MI 48044-5361
(586) 247-5300
Mailing address
1631 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 458-0400
(248) 458-0310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002875
MI
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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