Provider Demographics
NPI:1144047937
Name:FICHERA, ELIZABETH SUZANNE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SUZANNE
Last Name:FICHERA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1301 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1418
Mailing Address - Country:US
Mailing Address - Phone:734-720-6161
Mailing Address - Fax:
Practice Address - Street 1:310 S MAPLE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3833
Practice Address - Country:US
Practice Address - Phone:734-794-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant