Individual
BLAIR ELISE-TISEO SARAVOLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14650 E OLD US HIGHWAY 12, CHELSEA, MI 48118-1801
(734) 475-4003
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
5601009909
MI
Other
Enumeration date
04/09/2020
Last updated
07/07/2022
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