Marissa Callicotte, PA-C

NPI #1588225338 in Temperance, Michigan

Provider Information

NPI Number: 1588225338
Entity Type: Individual
Name: Marissa Callicotte, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 24, 2019
Last Updated: Jul 29, 2019

Practice Location

Address: 8765 LEWIS AVE
City: Temperance
State: Michigan
ZIP Code: 48182-9300
Phone: (734) 654-2169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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