Mary A Miceli, PA-C
NPI #1053327957 in Northville, Michigan
Provider Information
- NPI Number
- 1053327957
- Entity Type
- Individual
- Name
- Mary A Miceli, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 422 N CENTER ST
- City
- Northville
- State
- Michigan
- ZIP Code
- 48167-1224
- Phone
- (483) 481-1312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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