Individual
MRS. MELANI REAUME VOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 W LAKE LANSING RD, SUITE C 120, EAST LANSING, MI 48823-8445
(517) 337-0957
Mailing address
5116 GRATIOT AVE, SAINT CLAIR, MI 48079
(810) 824-1779
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006145
MI
Other
Enumeration date
10/20/2011
Last updated
10/21/2021
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