Doctor Name: | MARY ELIZABETH TURNER |
NPI Number: | 1053402446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 5601003955 |
Business Practice Address: | 820 Charlevoix Dr Suite 220 Grand Ledge, MI - 488377100 |
Business Phone Number: | 5176271000 |
Business Fax Number: | |
Mailing Address: | 205 Regent St, LANSING |
State: | MI |
Postal Code: | 489122726 |
Phone Number: | 5173729084 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601003955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |