Individual
CHASE BENNETT WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
TRINITY HEALTH IHA MEDICAL GROUP NEUROLOGY, 5333 MCAULEY DRIVE STE 6109, YPSILANTI, MI 48197-1005
(734) 712-1400
(734) 623-2857
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105-9484
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011839
MI
363A00000X
Physician Assistant
PA9110674
FL
Other
Enumeration date
09/20/2017
Last updated
11/08/2023
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