AUTUMN ELIZABETH DITTENBER

MIDLAND, MI
NPI1013461581
Former NameAUTUMN ELIZABETH DEGROAT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007826)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  58848)
Enumeration Date2016-08-12
Last Update Date2024-10-29
Business Address
AUTUMN ELIZABETH DITTENBER PA-C
111 E WACKERLY ST STE D
MIDLAND, MI 48642-7043
Phone number: 989-495-2050
Mailing Address
AUTUMN ELIZABETH DITTENBER PA-C
PO BOX 320008
FLINT, MI 48532-0001
Phone number: 989-495-2050