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1114068749
MARY LYNN MILLICAN
ANN ARBOR, MI
NPI
1114068749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003795)
Enumeration Date
2007-02-08
Last Update Date
2012-02-23
Business Address
Mrs. MARY LYNN MILLICAN P.A.
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5256
Phone number: 734-936-4000
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Mailing Address
Mrs. MARY LYNN MILLICAN P.A.
3621 S STATE ST 700 PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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