Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Masse

Individual provider Physician Assistant · NPI 1669849451

Marisa Masse is a Physician Assistant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007584 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1669849451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2015
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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