NPI 1033630082

Ashleigh Elaine Graham, PA

Practitioner Physician Assistant Ludington, MI

Practice location

Address: 922 Lawndale St, Ludington, MI 49431-1928
Phone: (231) 845-7380
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601008331 (MI)

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Registry record

NPI: 1033630082
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2017
Record last updated: 4 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.