Stephan Elliott
Stephan Elliott is a Family Practice in Midland, Michigan. Qualified in 2021, 5 years ago. Practices with Mymichigan Medical Center Alma, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.
- Years since qualifying
- 5
- Licensed in
- MI, PA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Midland, MINo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 555 N Duke St, Lancaster, PA 17602-2250 — (717) 544-4940
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 4301511000 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence MT222820 (PA) |
Record details
| NPI number | 1376110643 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 7, 2021 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Mymichigan Medical Center Alma — 140 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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