Individual
MARISA ANN ZITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PA-C, RD
Contact information
Practice address
290 W 9 MILE RD, FERNDALE, MI 48220-1794
(248) 228-0596
(586) 204-0255
Mailing address
290 W 9 MILE RD, FERNDALE, MI 48220-1794
(248) 228-0596
(586) 204-0255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010921
MI
Other
Enumeration date
03/23/2022
Last updated
08/04/2026
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