Individual provider · Type 1 NPI

Jordan Marie Attisha, PA-C

Medical Physician Assistant · Livonia, MI

NPI number 1578048138 Active

Practice location

17800 Newburgh Rd
Livonia, MI 48152-2700

Call (734) 464-9540 Map

Mailing address

27275 Haggerty Rd Ste 500
Novi, MI 48377-3635

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601008850 (MI)

Medical Physician Assistant: Definition to come...

10 other providers at this address

Other medical physician assistant providers in Livonia

See all in Livonia →

About NPI 1578048138

Jordan Marie Attisha, PA-C's National Provider Identifier is 1578048138, issued on Sep 30, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Livonia, MI. The record was last updated on Mar 19, 2020.