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Individual

CARRIE LEIGH RUPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS

Contact information

Practice address
5315 ELLIOTT DR STE 304, YPSILANTI, MI 48197-8634
(734) 712-0655
(734) 887-0652
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009462
MI
363A00000X
Physician Assistant
PA60794994
WA

Other

Enumeration date
09/28/2017
Last updated
08/25/2021
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