Healthcare Provider Details

I. General information

NPI: 1891673422
Provider Name (Legal Business Name): MAEGEN MARIE HOPKINS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 ELLIOTT DR
YPSILANTI MI
48197-8633
US

IV. Provider business mailing address

13600 MEADOWVIEW DR
CHELSEA MI
48118-9148
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-8000
  • Fax:
Mailing address:
  • Phone: 734-686-9736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: