MRS. Marjorie Diane Jolly, PA-C

NPI #1790228203 in Clawson, Michigan

Provider Information

NPI Number: 1790228203
Entity Type: Individual
Name: MRS. Marjorie Diane Jolly, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 1, 2016
Last Updated: Mar 23, 2023

Practice Location

Address: 1402 W 14 MILE RD
City: Clawson
State: Michigan
ZIP Code: 48017-1499
Phone: (248) 435-7314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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