Individual
MRS. ELAINE ASHLEY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5716 MICHIGAN AVE, SUITE 1100, DETROIT, MI 48210-3039
(313) 554-1095
(313) 899-3560
Mailing address
32255 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-1566
(248) 587-2300
(248) 945-0492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005882
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972812741
—
MI
Enumeration date
09/28/2010
Last updated
10/07/2021
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