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Contact Information

MELISSA B CRUZ, PHYSICIAN ASSISTANT
5333 MCAULEY DR
SUITE 6016
YPSILANTI, MI48197-1005
 Phone: 734-712-8350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MELISSA B CRUZ · (Female)

NPI # 1407382062
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 05/02/2017
Last updated 05/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601008180
Hospital affiliation(s)
  • ST JOSEPH MERCY OAKLAND - (Acute Care)
    44405 WOODWARD AVE
    PONTIAC, MI 48341
  • ST MARY MERCY HOSPITAL - (Acute Care)
    36475 FIVE MILE ROAD
    LIVONIA, MI 48154
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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