Individual provider · Type 1 NPI

Ethel Mbombow, PA-C

Physician Assistant · Eastpointe, MI

NPI number 1801121348 Active

Practice location

21409 Kelly Rd, Suite 400
Eastpointe, MI 48021-3264

Fax (586) 777-0631

Mailing address

4967 Crooks Rd, Ste 130
Troy, MI 48098-5801

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601005700 (MI)
Internal Medicine Physician 207R00000X1088784 (MI)
Internal Medicine Physician 207R00000X5601005700 (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 1801121348

Ethel Mbombow, PA-C's National Provider Identifier is 1801121348, issued on Oct 15, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eastpointe, MI. The record was last updated on Jul 29, 2015.