MALISA M BURT

ROYAL OAK, MI
NPI1578973657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601002694)
Enumeration Date2014-04-29
Last Update Date2014-04-29
Business Address
-- MALISA M BURT PA
127 FOREST AVE
ROYAL OAK, MI 48067-1843
Phone number: 248-229-7927
Mailing Address
-- MALISA M BURT PA
127 FOREST AVE
ROYAL OAK, MI 48067-1843
Phone number: 248-229-7927
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