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Individual

ELIZABETH SHEEP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5315 ELLIOTT DRIVE, SUITE 304, YPSILANTI, MI 48197-8634
(734) 712-0655
(734) 712-0611
Mailing address
5315 ELLIOTT DRIVE, SUITE 304, YPSILANTI, MI 48197-8634
(734) 712-0655
(734) 712-0611

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006047
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601006047
LICENSE
MI
01
867633
MEDICARE GROUP #
PA
01
MA051813
LICENSE
PA
Enumeration date
06/21/2005
Last updated
03/07/2023
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