Individual
DEANNA MARIE PATROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11081 VARNA ST, CLIO, MI 48420-1447
(810) 247-8954
Mailing address
11081 VARNA ST, CLIO, MI 48420-1447
(810) 247-8954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009508
MI
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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