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1023536364
SAMUEL CHRISTOPHER ELLIS-STOCKLEY
FARMINGTON HILLS, MI
NPI
1023536364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008376)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
SAMUEL CHRISTOPHER ELLIS-STOCKLEY PA-C
28300 ORCHARD LAKE RD STE 200
FARMINGTON HILLS, MI 48334-3704
Phone number: 248-539-8630
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Mailing Address
SAMUEL CHRISTOPHER ELLIS-STOCKLEY PA-C
30986 STONE RIDGE DR APT 14201
WIXOM, MI 48393-3891
Phone number: 734-308-4260
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