Individual
MS. DONNA LEE DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1711 MONROE ST, DEARBORN, MI 48124-2914
(313) 562-9100
Mailing address
43017 LANCELOT DR, CANTON, MI 48188-1917
(517) 518-2862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5315236874
MI
Other
Enumeration date
02/15/2023
Last updated
02/04/2025
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