Individual
DESIREE LEE ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 728-5910
(231) 728-5918
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005954
MI
Other
Enumeration date
01/04/2011
Last updated
01/27/2017
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