Elite Provider Group PC

NPI #1619864840 in Burton, Michigan

Provider Information

NPI Number: 1619864840
Entity Type: Organization
Organization Name: Elite Provider Group PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 20, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 1096 S BELSAY RD STE C
City: Burton
State: Michigan
ZIP Code: 48509-1948
Phone: (810) 743-3351

Authorized Official

Name: CRYSTAL CHANDLER
Title: MANAGER OF PROVIDER NETWORK
Phone: (810) 424-2136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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