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Michelle L Mardegian, PA-C
Physician Assistant in Dearborn, Michigan
NPI 1457476129

Michelle L Mardegian is a Physician Assistant based in Detroit, MI. Michelle L Mardegian practices in Dearborn, MI and has the professional credentials of PA-C. The NPI Number for Michelle L Mardegian is 1457476129 and holds a License No. 5601002219 (Michigan).

The current practice location address for Michelle L Mardegian is 19401 Hubbard Dr, Dearborn, MI and can be reached out via phone at 313-982-8100.

Location: 19401 Hubbard Dr, Dearborn, MI, 48202-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457476129
Provider Name
Michelle L Mardegian
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
19401 Hubbard Dr, Dearborn, MI, 48202-3450
Phone Number
313-982-8100
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MM002219 01 MI MI LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
19401 Hubbard Dr
City
Dearborn
State
Michigan
Zip
48126-2641
Phone Number
313-982-8100
Fax Number
person
Provider Business Mailing Address Details
Address
19401 Hubbard Dr
City
Dearborn
State
Michigan
Zip
48126-2641
Phone Number
313-982-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601002219 (Michigan)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601002219 (Michigan)
Definition
Definition to come...
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