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NPI Code Detail

MEDICARE: MR. ELIAS SANCHEZ PA

MEDICARE: MR. ELIAS SANCHEZ PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1659195782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELIAS SANCHEZ PA
Provider Business Mailing Address
First Line : 1225 W FRONT ST STE C
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2368
Country : US
Telephone Number : 231-642-5031
Fax Number : 231-525-2306
Provider Business Practice Location Address
First Line : 1225 W FRONT ST STE C
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2368
Country : US
Telephone Number : 231-642-5031
Fax Number : 231-525-2306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2024
Last Update Date : 03/18/2026

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Directions to “ MR. ELIAS SANCHEZ PA” Practice Location

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