Individual
MRS. ERIN ELIZABETH VAN TIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
990 W ANN ARBOR TRL STE 205, PLYMOUTH, MI 48170-1686
(734) 455-6881
(734) 455-6891
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005456
MI
Other
Enumeration date
05/13/2009
Last updated
04/25/2023
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