Individual
ERIN R VAN PAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4741-23
WI
363A00000X
Physician Assistant
Primary
5601010506
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159478
NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
—
Enumeration date
08/19/2019
Last updated
01/04/2023
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