ANNALISA JOANN MARTINEZ

ROYAL OAK, MI
NPI1073902052
Former NameANNALISA PALAZZOLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601008621)
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2015-01-14
Last Update Date2019-08-29
Business Address
Miss ANNALISA JOANN MARTINEZ PA
3601 W 13 MILE RD STE EC
ROYAL OAK, MI 48073-6712
Phone number: 248-898-0575
Mailing Address
Miss ANNALISA JOANN MARTINEZ PA
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1859