Individual
ELIZABETH MARGERY PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1140 E MICHIGAN AVE STE 300, LANSING, MI 48912-1806
(517) 364-5655
(517) 364-5654
Mailing address
6321 S CHANDLER RD, SAINT JOHNS, MI 48879-9170
(517) 896-2946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006896
MI
363AM0700X
Medical Physician Assistant
PA04209
TX
Other
Enumeration date
09/08/2006
Last updated
12/11/2024
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