Individual
MELISSA MICHELLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003462
STATE LICENSE
MI
Enumeration date
03/07/2007
Last updated
03/20/2025
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