Mary A Miceli in Northville - Physician Assistant
Mary A Miceli - NPI 1053327957
Mary A Miceli is a Physician Assistant in Northville, Michigan. Mary A Miceli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary A Miceli is 1053327957. The last update date is 2023-03-07.
Mary A Miceli's current location address is 422 N Center St, Northville, Michigan. You can contact this provider via phone number 4834811312 and fax number 2483481170. The mailing address for Mary A Miceli is 422 N Center St, Northville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Miceli |
|---|---|
| Address | 422 N Center St, Northville, Michigan |
| Phone Number | 4834811312 |
| Fax Number | 2483481170 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053327957 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 422 N Center St |
|---|---|
| City | Northville |
| State | Michigan (MI) |
| Post Code | 481671224 |
| Phone Number | 4834811312 |
| Fax Number | 2483481170 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003648 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00083625 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary A Miceli by the Centers for Medicare & Medicaid Services?
The Mary A Miceli has been assigned the NPI (National Provider Identifier) 1053327957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mary A Miceli is geographically located?
The Mary A Miceli is physically situated at the following location: 422 N Center St, Northville, MI, 481671224.
What is Mary A Miceli's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary A Miceli is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053327957 to Mary A Miceli?
The Centers for Medicare & Medicaid Services originally issued the 1053327957 to Mary A Miceli on 2006-07-31.
As of what date were the details pertaining to Mary A Miceli last refreshed?
The information related to the Mary A Miceli, including its address, specialty, and other relevant details, was last updated on 2023-03-07.