Chanel Pattah Orow, PA-C
Physician Assistant in Royal Oak, MI. Individual provider (NPI-1).
NPI number1982188090
StatusActive
Last updated in NPPESJun 2, 2023
Details
- NPI
- 1982188090
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Chanel Pattah Orow
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2018
- Certification date
- Jun 2, 2023
- Last updated
- Jun 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008838 | MI | Yes |
Practice location
3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Phone 248-898-2000
Mailing address
6900 Orchard Lake RdWest Bloomfield, MI 48322-3405
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