Individual
ELIZABETH ANN WESTGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 E SHERMAN BLVD, SUITE 1100, MUSKEGON, MI 49444-1871
(231) 672-2203
(231) 672-2992
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N33870017
MEDICARE PTAN
MI
Enumeration date
08/03/2010
Last updated
04/30/2015
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