Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STEPHANIE LYNN ILLIAN, PA-C
ActiveMRS. STEPHANIE LYNN ILLIAN, PA-C is a Surgical Physician Assistant healthcare provider located in COMMERCE TOWNSHIP, Michigan. NPI 1285991356 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · COMMERCE TOWNSHIP, MI
Registration Details
- NPI Number
- 1285991356
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2012 (14.369916287439 yrs)
- Last Updated
- Apr 13, 2012
- License
-
5601006316 (MI)
Practice Information
- Address
-
1 WILLIAM CARLS DRSTE 120COMMERCE TOWNSHIP, MI, 483822201Browse MI providers · Browse ZIP 48382
- Phone
- 2489374947
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in COMMERCE TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTIAN B GENTRY | SA | 1336257765 |
| DARREN TRIPPELL | PA-C | 1811469208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.