Individual
LUIS ALEXANDER SANCHEZ-EREBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
309 PAGE AVE, JACKSON, MI 49201-2419
(517) 205-1234
Mailing address
309 PAGE AVE, JACKSON, MI 49201-2419
(517) 205-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11424
NC
Other
Enumeration date
07/02/2019
Last updated
05/25/2024
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