Provider Demographics
NPI:1174207120
Name:MAZER, SYDNI ALYSSA (PA-C)
Entity type:Individual
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First Name:SYDNI
Middle Name:ALYSSA
Last Name:MAZER
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Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:7088 CEDARBANK DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-2400
Mailing Address - Country:US
Mailing Address - Phone:248-924-5255
Mailing Address - Fax:
Practice Address - Street 1:1716 9TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1124
Practice Address - Country:US
Practice Address - Phone:248-924-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant