Individual provider · Type 1 NPI
Ellie Kristin Eaton, PA-C
Surgical Physician Assistant · Alpena, MI
NPI number
1700596640
Active
Practice location
1501 W Chisholm St
Alpena, MI 49707-1401
Mailing address
3397 Piper Rd
Alpena, MI 49707-4732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601011497 (MI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1700596640
Ellie Kristin Eaton, PA-C's National Provider Identifier is 1700596640, issued on Dec 1, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Alpena, MI. The record was last updated on Dec 1, 2022.