Individual
MARISSA MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1021 E MAIN ST, EDMORE, MI 48829-8740
(989) 427-5320
Mailing address
3850 HIGHGATE RD, NORTON SHORES, MI 49441-5071
(810) 813-9808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011716
MI
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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