Tabitha Jane Ewert, PA-C

NPI #1194163246 in Wayland, Michigan

Provider Information

NPI Number: 1194163246
Entity Type: Individual
Name: Tabitha Jane Ewert, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 11, 2013
Last Updated: Jun 20, 2022

Practice Location

Address: 12851 W M 179 HWY
City: Wayland
State: Michigan
ZIP Code: 49348-9318
Phone: (877) 377-7322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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