Doctor Name: | MONA SATER |
NPI Number: | 1053391847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA.C. |
License Number: | 5601003312 |
Business Practice Address: | 7650 Dixie Hwy Suite 140 Clarkston, MI - 483462078 |
Business Phone Number: | 2486209310 |
Business Fax Number: | 2486209311 |
Mailing Address: | 7650 Dixie Hwy, Suite 140 CLARKSTON |
State: | MI |
Postal Code: | 483462078 |
Phone Number: | 2486209310 |
Fax Number: | 2486209311 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 5601003312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |