JESSICA TACCONELLI, PA-C

PA-C

Medical Physician Assistant

NPI: 1164791752IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

5601006221(MI)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2011

Contact & Hours

Address: 6330 ORCHARD LAKE RD., SUITE 120
WEST BLOOMFIELD, MI 48322
Phone: (248) 855-3366

Quick Facts

NPI: 1164791752
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 15

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