Elissa M. Ridgeway, P.A.C.
Physician Assistant · Detroit, MI
UnclaimedP.A.C.NPI 1235354028
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-04-16
- Practice location
- Detroit, MI
- Last NPPES update
- 2021-02-19
State licenses
- MI · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.