Individual provider · Type 1 NPI

Samuel Christopher Ellis-Stockley, PA-C

Physician Assistant · Farmington Hills, MI

NPI number 1023536364 Active

Practice location

28300 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-3704

Fax (248) 539-9045

Mailing address

30986 Stone Ridge Dr Apt 14201
Wixom, MI 48393-3891

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008376 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023536364

Samuel Christopher Ellis-Stockley, PA-C's National Provider Identifier is 1023536364, issued on Sep 7, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Sep 7, 2017.