Samuel Christopher Ellis-Stockley, PA-C
Physician Assistant in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1023536364
StatusActive
Last updated in NPPESSep 7, 2017
Details
- NPI
- 1023536364
- Entity type
- Individual (NPI-1)
- Name
- Samuel Christopher Ellis-Stockley
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2017
- Last updated
- Sep 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008376 | MI | Yes |
Practice location
28300 Orchard Lake Rd Ste 200Farmington Hills, MI 48334-3704
Phone 248-539-8630 · Fax 248-539-9045
Mailing address
30986 Stone Ridge Dr Apt 14201Wixom, MI 48393-3891
Phone 734-308-4260
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All 84 Physician Assistant providers in Farmington Hills · All 39,103 providers in Farmington Hills
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