AUDREY VIZZACCARO

LAKE ORION, MI
NPI1982878609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601003044)
Enumeration Date2008-04-14
Last Update Date2008-04-14
Business Address
Mrs. AUDREY VIZZACCARO P.A.-C.
1261 SOUTH LAPEER RD STE 201
LAKE ORION, MI 48360
Phone number: 248-814-7546
Mailing Address
Mrs. AUDREY VIZZACCARO P.A.-C.
1261 SOUTH LAPEER RD STE 201
LAKE ORION, MI 48360
Phone number: 248-814-7546