Individual provider · Type 1 NPI

Eli Pearson Tidwell

Student in an Organized Health Care Education/Training Program · Ypsilanti, MI

NPI number 1043070543 Active

Practice location

5333 Mcauley Dr
Ypsilanti, MI 48197-1014

Call (734) 712-3980 Map

Mailing address

5333 Mcauley Dr Rm 4001
Ypsilanti, MI 48197-1099

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043070543

Eli Pearson Tidwell's National Provider Identifier is 1043070543, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ypsilanti, MI. The record was last updated on Mar 21, 2024.