Eli Pearson Tidwell

NPI #1043070543 in Ypsilanti, Michigan

Provider Information

NPI Number: 1043070543
Entity Type: Individual
Name: Eli Pearson Tidwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 21, 2024
Last Updated: Mar 21, 2024

Practice Location

Address: 5333 MCAULEY DR
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1014
Phone: (734) 712-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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