Madison Elizabeth Delmarle, MS, PA-C
Physician Assistant, Medical in Dearborn, MI. Individual provider (NPI-1).
NPI number1629802491
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1629802491
- Entity type
- Individual (NPI-1)
- Name
- Madison Elizabeth Delmarle
- Credential
- MS, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601012703 | MI | Yes |
Practice location
18181 Oakwood Blvd Ste 207Dearborn, MI 48124-5031
Phone 313-551-3745 · Fax 313-551-3984
Mailing address
18181 Oakwood Blvd Ste 207Dearborn, MI 48124-5031
Phone 313-551-3745 · Fax 313-551-3984
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