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Individual

ELIZABETH ANNE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6443
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008285
MI
363A00000X
Physician Assistant
PA 9109110
FL

Other

Enumeration date
10/12/2015
Last updated
01/16/2019
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