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Individual

DANIELLE MILLER TABULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3000 TOWN CTR, SOUTHFIELD, MI 48075-1102
(313) 284-2204
Mailing address
3000 TOWN CTR, SOUTHFIELD, MI 48075-1102
(313) 284-2204

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4301067273
MI
363A00000X
Physician Assistant
PA1562
NV

Other

Enumeration date
12/03/2014
Last updated
02/28/2025
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