Individual
ELEANOR DIONISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
Mailing address
1035 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
(517) 622-1242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011313
MI
Other
Enumeration date
07/08/2022
Last updated
10/26/2022
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