Individual provider · Type 1 NPI

Ellie Jane Makoul, PA-C

Physician Assistant · Portage, MI

NPI number 1790505683 Active

Practice location

3770 Glenkerry Ct
Portage, MI 49024-0700

Call (269) 329-2887 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601012711 (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 1790505683

Ellie Jane Makoul, PA-C's National Provider Identifier is 1790505683, issued on Oct 15, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portage, MI. The record was last updated on Oct 15, 2024.