Individual
MS. MANDA MARIE MERAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7125 ORCHARD LAKE RD, SUITE 100, WEST BLOOMFIELD, MI 48322-3615
(248) 865-7481
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601006203
MI
363A00000X
Physician Assistant
Primary
PA08484
TX
Other
Enumeration date
12/06/2011
Last updated
03/09/2022
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