MEDICARE: PAIGE ELIZABETH HARRIS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1992633226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE ELIZABETH HARRIS PA-C

Provider Business Mailing Address
First Line	:	24160 COLONIAL DR
Second Line	:
City	:	WOODHAVEN
State	:	MI
Zip	:	48183-3725
Country	:	US
Telephone Number	:	734-752-2952
Fax Number	:

Provider Business Practice Location Address
First Line	:	14797 DIX TOLEDO RD
Second Line	:
City	:	SOUTHGATE
State	:	MI
Zip	:	48195-2507
Country	:	US
Telephone Number	:	734-887-6686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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