Individual provider · Type 1 NPI

Anita Mary Shamoun, P.A-C

Medical Physician Assistant · Detroit, MI

NPI number 1043564941 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Call (313) 966-3300 Map

Mailing address

39080 Plumbrook Dr
Farmington Hills, MI 48331-2972

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601006497 (MI)
Medical Physician Assistant 363AM0700XPA.0007438 (CO)
Physician Assistant 363A00000XPA.0007438 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1043564941

Anita Mary Shamoun, P.A-C's National Provider Identifier is 1043564941, issued on Oct 31, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Sep 20, 2023.