Individual provider · Type 1 NPI

Maegen Mandeville, PA

Physician Assistant · Royal Oak, MI

NPI number 1679921787 Active

Practice location

5130 Coolidge Hwy
Royal Oak, MI 48073-1001

Fax (248) 288-0044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679921787

Maegen Mandeville, PA's National Provider Identifier is 1679921787, issued on May 31, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Royal Oak, MI. The record was last updated on May 31, 2016.