Individual
MRS. MARJORIE DIANE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1402 W 14 MILE RD, CLAWSON, MI 48017-1499
(248) 435-7314
Mailing address
1402 W 14 MILE RD, CLAWSON, MI 48017-1499
(248) 435-7314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008024
MI
Other
Enumeration date
12/01/2016
Last updated
03/23/2023
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