ELISSA MARY RIDGEWAY

DETROIT, MI
NPI1235354028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004581)
Enumeration Date2007-04-16
Last Update Date2021-02-19
Business Address
Mrs. ELISSA MARY RIDGEWAY P.A.C.
2799 W GRAND BLVD DEPARTMENT OF SURGERY
DETROIT, MI 48202-2608
Phone number: 313-916-3037
Mailing Address
Mrs. ELISSA MARY RIDGEWAY P.A.C.
2799 W GRAND BLVD DEPARTMENT OF SURGERY
DETROIT, MI 48202-2608
Phone number: 313-916-3037
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