Individual provider · Type 1 NPI

Daniel Jacob Elliott

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

NPI number 1700394301 Active

Practice location

25 Michigan St NE
Grand Rapids, MI 49503-2515

Call (231) 591-3780 Map

Mailing address

1405 Grosbeck Rd
Lapeer, MI 48446-3418

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 1700394301

Daniel Jacob Elliott's National Provider Identifier is 1700394301, issued on Jan 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 17, 2018.