Individual
ERIN CHRISTINE BOOKOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
Mailing address
20911 WEXFORD DR, MACOMB, MI 48044-2262
(586) 337-6019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010692
MI
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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