ELLIE JANE MAKOUL

PORTAGE, MI
NPI1790505683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012711)
Enumeration Date2024-10-15
Last Update Date2024-10-15
Business Address
ELLIE JANE MAKOUL PA-C
3770 GLENKERRY CT
PORTAGE, MI 49024-0700
Phone number: 269-329-2887
Mailing Address
ELLIE JANE MAKOUL PA-C
3770 GLENKERRY CT
PORTAGE, MI 49024-0700
Phone number: