Individual
ADRIENNE L MARESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1105 6TH STREET, TRAVERSE CITY, MI 49684
(231) 947-0673
(801) 740-2847
Mailing address
P O BOX 107, TRAVERSE CITY, MI 49685-0107
(231) 947-0673
(801) 740-2847
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004855
MI
Other
Enumeration date
10/11/2006
Last updated
06/17/2009
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