| Blake Malcolm Ely, PA-C | |
|
5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | |
| (248) 697-1548 | |
| Not Available |
| Full Name | Blake Malcolm Ely |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5301 Mcauley Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013629492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601012493 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Malcolm Ely, PA-C 42868 Brookstone Dr, Novi, MI 48377-2713 Ph: (248) 697-1548 | Blake Malcolm Ely, PA-C 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 Ph: (248) 697-1548 |
Kurt J Hiester, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197 Phone: 734-434-4110 Fax: 734-434-1966 | |
Mr. Daniel Patrick Defer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-5609 | |
Phillip John Villanueva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-8676 Fax: 734-712-3855 | |
Melissa Anne Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 877-336-6307 | |
Mrs. Alicia Lynn Robinson, MA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-623-0688 | |
Madeline Rose Erdman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5303 Elliott Drive, Suite 210, Ypsilanti, MI 48197 Phone: 734-712-1000 Fax: 734-712-1012 |