Individual
JILLIAN MONTICCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2405 E 14 MILE RD, STERLING HTS, MI 48310-5961
(586) 264-1800
(586) 264-1155
Mailing address
2405 E 14 MILE RD, STERLING HTS, MI 48310-5961
(586) 264-1800
(586) 264-1155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007858
MI
Other
Enumeration date
09/06/2016
Last updated
05/21/2019
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