Individual
ELLEN MARIE STAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
G4007 W COURT ST STE B, FLINT, MI 48532-3560
(810) 399-9931
Mailing address
G4007 W COURT ST STE B, FLINT, MI 48532-3560
(810) 399-9931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010295
MI
Other
Enumeration date
01/05/2021
Last updated
02/01/2025
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