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NPI Code Detail

MEDICARE: MRS. FALON ROSE POLLIFRONE PA-C

MEDICARE:  MRS. FALON ROSE POLLIFRONE  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601009685MI

General Provider Information

NPI Number : 1376184655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FALON ROSE POLLIFRONE PA-C
Provider Business Mailing Address
First Line : 17177 N LAUREL PARK DR STE 131
Second Line :
City : LIVONIA
State : MI
Zip : 48152-3952
Country : US
Telephone Number : 734-462-3210
Fax Number :
Provider Business Practice Location Address
First Line : 17177 N LAUREL PARK DR STE 131
Second Line :
City : LIVONIA
State : MI
Zip : 48152-3952
Country : US
Telephone Number : 734-462-3210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 01/29/2024

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Directions to “ MRS. FALON ROSE POLLIFRONE PA-C” Practice Location

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