NPI 1053327957

Mary a Miceli, PAC

Practitioner Physician Assistant Northville, MI

Practice location

Address: 422 N Center St, Northville, MI 48167-1224
Phone: (483) 481-1312
Fax: (248) 348-1170

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601003648 (MI)

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Registry record

NPI: 1053327957
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.