Blake Malcolm Ely, PA-C

NPI #1013629492 in Ypsilanti, Michigan

Provider Information

NPI Number: 1013629492
Entity Type: Individual
Name: Blake Malcolm Ely, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 19, 2022
Last Updated: Jun 19, 2024

Practice Location

Address: 5301 MCAULEY DR
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1051
Phone: (248) 697-1548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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