Individual
MRS. EMILY DENESGE DILORETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092531
NCCPA
—
01
—
5601005793
PHYSICIAN ASSISTANT LICENSE STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
07/07/2010
Last updated
07/15/2022
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