Organization
ELITE MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAE BARTLETT (ADMINISTRATOR)
(248) 388-9212
Entity
Organization
Contact information
Practice address
50 MAIN ST, COOPERSVILLE, MI 49404-1231
(616) 268-9931
Mailing address
50 MAIN ST, COOPERSVILLE, MI 49404-1231
(616) 268-9931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
06/11/2019
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