Active NPI 1831177161 Individual Practitioner Male Practitioner

Dr. Jonathan Lee Eliason , MD

Surgery - Vascular Surgery • Ann Arbor, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Eliason, MD is a certified Surgery - Vascular Surgery practicing in Ann Arbor, MI. With approximately 30 years of clinical experience since graduating from University Of Minnesota Medical School in 1996, Dr. Eliason delivers high-quality medical care to the local community at 1500 E MEDICAL CENTER DR.

Dr. Eliason is affiliated with Regents Of The University Of Michigan and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include ultrasound study of arm or leg veins with compression and maneuvers, established patient outpatient office visit, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 E Medical Center Dr

Ann Arbor, MI 481095000

Telephone 7349364000

Associated Practice Facility / Clinic

🏢 Regents Of The University Of Michigan Facility NPI 1003878539

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Ann Arbor, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 28.3 Yrs

Regional Practice Density

19 Specialists

Practicing in Ann Arbor, MI (208 Statewide)

Telehealth Adoption Rate

36.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Eliason (30 Years) 30 Yrs

Ann Arbor Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	267	244	$270.00	$32.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	183	$59.36	$35.68
93880 Ultrasound of both sides of head and neck blood flow	171	165	$309.00	$37.82
93923 Complete ultrasound study of arm and leg arteries	136	129	$203.00	$22.22
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	95	85	$216.00	$20.95
93922 Ultrasound study of arm and leg arteries	53	53	$120.00	$12.16
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$91.38	$47.97
93925 Ultrasound of leg arteries or artery grafts	34	33	$249.00	$37.64
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	31	31	$252.00	$55.03
93926 Ultrasound of one leg arteries or artery grafts	31	30	$203.00	$22.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	23	23	$270.00	$30.60
93880 Ultrasound of both sides of head and neck blood flow	19	19	$309.00	$36.35
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	15	14	$1048.67	$161.81
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	15	$300.00	$39.02
93990 Ultrasound of dialysis access	14	14	$96.00	$24.39
93923 Complete ultrasound study of arm and leg arteries	12	12	$203.00	$20.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$224.00	$135.59
37242 Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance	12	12	$2443.00	$285.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	277	249	$270.00	$33.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	213	196	$54.38	$36.23
93880 Ultrasound of both sides of head and neck blood flow	193	185	$309.00	$39.10
93923 Complete ultrasound study of arm and leg arteries	153	146	$203.00	$22.68
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	105	99	$216.00	$21.72
93922 Ultrasound study of arm and leg arteries	70	63	$120.00	$12.57
93925 Ultrasound of leg arteries or artery grafts	56	53	$249.00	$38.00
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$89.46	$49.04
93926 Ultrasound of one leg arteries or artery grafts	43	38	$203.00	$23.24
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	26	$270.00	$32.53
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	25	24	$252.00	$56.86
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	23	$300.00	$39.57
93990 Ultrasound of dialysis access	18	17	$96.00	$24.77
93923 Complete ultrasound study of arm and leg arteries	16	16	$203.00	$21.32
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	12	12	$1251.25	$182.54
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$51.75	$35.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	309	286	$270.00	$35.11
93880 Ultrasound of both sides of head and neck blood flow	222	211	$309.00	$40.46
93923 Complete ultrasound study of arm and leg arteries	204	191	$203.00	$23.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	159	$50.00	$37.74
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	103	93	$216.00	$22.03
93925 Ultrasound of leg arteries or artery grafts	60	57	$249.00	$39.86
93990 Ultrasound of dialysis access	48	40	$96.00	$25.44
93926 Ultrasound of one leg arteries or artery grafts	47	42	$203.00	$23.96
93970 Ultrasound study of arm or leg veins with compression and maneuvers	42	42	$270.00	$32.74
93922 Ultrasound study of arm and leg arteries	41	41	$120.00	$12.75
93880 Ultrasound of both sides of head and neck blood flow	36	36	$309.00	$38.27
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$83.00	$69.09
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$85.00	$50.80
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	29	28	$252.00	$57.65
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	28	28	$300.00	$40.89
93923 Complete ultrasound study of arm and leg arteries	20	20	$203.00	$21.99
99441 Telephone medical discussion with physician, 5-10 minutes	19	17	$50.00	$36.73
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	18	16	$1231.39	$175.67
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	17	15	$347.00	$88.21
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	17	17	$154.00	$40.65
76706 Ultrasound scan of abdominal aorta	16	16	$94.00	$26.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$120.00	$87.66
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$326.00	$72.84
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	12	12	$7464.00	$1610.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	368	343	$270.11	$34.85
93923 Complete ultrasound study of arm and leg arteries	247	230	$203.00	$22.98
93880 Ultrasound of both sides of head and neck blood flow	228	221	$309.00	$40.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	156	$50.77	$37.23
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	112	108	$219.80	$22.38
93926 Ultrasound of one leg arteries or artery grafts	80	72	$204.57	$24.80
99213 Established patient office or other outpatient visit, typically 15 minutes	73	71	$82.41	$70.15
93925 Ultrasound of leg arteries or artery grafts	58	50	$249.00	$38.97
93922 Ultrasound study of arm and leg arteries	58	55	$120.00	$13.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$120.00	$86.53
93990 Ultrasound of dialysis access	40	40	$96.00	$26.37
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	36	33	$252.00	$58.79
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	19	19	$300.00	$41.58
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	15	14	$1096.33	$176.14
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	13	$347.00	$89.86
36245 Insertion of tube into abdominal, pelvic, or leg artery, each first order branch	14	12	$868.00	$145.72
37236 Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery	13	13	$1882.00	$394.53
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$54.17	$37.34
35301 Removal of blood clot and portion of artery of neck	12	12	$4670.00	$1208.85
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$107.50	$48.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$120.00	$103.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$224.00	$142.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	458	416	$270.00	$36.91
93923 Complete ultrasound study of arm and leg arteries	306	278	$205.13	$24.03
93880 Ultrasound of both sides of head and neck blood flow	230	226	$309.00	$42.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	183	171	$49.65	$27.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	119	110	$223.36	$23.61
93925 Ultrasound of leg arteries or artery grafts	73	67	$249.00	$41.77
93926 Ultrasound of one leg arteries or artery grafts	57	54	$206.00	$25.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$122.25	$80.66
93922 Ultrasound study of arm and leg arteries	49	49	$120.00	$13.80
93990 Ultrasound of dialysis access	38	34	$96.00	$27.92
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	32	30	$252.00	$61.46
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$81.73	$54.59
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	20	20	$300.00	$41.18
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	17	14	$347.00	$94.32
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$326.00	$77.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	491	453	$270.00	$36.48
93923 Complete ultrasound study of arm and leg arteries	384	332	$207.00	$23.68
93880 Ultrasound of both sides of head and neck blood flow	308	288	$309.00	$42.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	260	231	$38.33	$26.76
93925 Ultrasound of leg arteries or artery grafts	108	99	$249.00	$41.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	102	96	$225.00	$23.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$122.36	$80.48
93926 Ultrasound of one leg arteries or artery grafts	59	53	$206.00	$25.66
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$72.47	$53.30
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	43	38	$252.00	$61.22
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	37	37	$300.00	$42.38
93922 Ultrasound study of arm and leg arteries	34	32	$120.00	$13.65
93990 Ultrasound of dialysis access	34	31	$96.00	$27.09
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	25	21	$333.20	$93.25
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	20	$326.00	$60.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	15	$270.00	$34.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$155.00	$54.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$225.00	$23.43
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	11	11	$268.00	$41.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	341	320	$293.81	$36.06
93923 Complete ultrasound study of arm and leg arteries	299	271	$227.47	$23.40
93880 Ultrasound of both sides of head and neck blood flow	276	259	$309.00	$41.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	202	$30.00	$26.42
93925 Ultrasound of leg arteries or artery grafts	95	88	$276.21	$41.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$120.00	$80.33
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	69	66	$236.01	$23.61
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	42	41	$252.00	$59.56
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$57.00	$52.92
93926 Ultrasound of one leg arteries or artery grafts	27	25	$213.11	$25.63
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	22	22	$300.00	$42.19
93990 Ultrasound of dialysis access	20	18	$96.00	$26.71
93922 Ultrasound study of arm and leg arteries	20	19	$130.50	$13.45
75625 Radiological supervision and interpretation X-ray of abdominal aorta	16	16	$326.00	$59.63
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	14	14	$7464.00	$1719.11
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	13	13	$1342.00	$203.01
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$270.00	$34.13
37242 Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance	12	11	$2443.00	$351.40
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$323.58	$91.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	524	475	$311.00	$35.90
93923 Complete ultrasound study of arm and leg arteries	430	390	$243.00	$23.45
93880 Ultrasound of both sides of head and neck blood flow	385	367	$309.00	$41.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	206	185	$30.00	$26.11
93925 Ultrasound of leg arteries or artery grafts	163	141	$296.00	$40.61
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	119	114	$249.84	$22.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$120.00	$79.19
93990 Ultrasound of dialysis access	65	60	$96.00	$26.15
93922 Ultrasound study of arm and leg arteries	50	50	$141.00	$13.25
99213 Established patient office or other outpatient visit, typically 15 minutes	46	46	$57.00	$52.00
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	44	40	$252.00	$60.00
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	38	37	$300.00	$41.50
93926 Ultrasound of one leg arteries or artery grafts	37	34	$218.00	$25.26
36200 Insertion of catheter into aorta	27	19	$787.11	$94.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$206.00	$133.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$93.00	$80.09
93886 Complete ultrasound of within the brain blood flow	20	13	$329.00	$48.29
75953 Radiological supervision and interpretation of placement of blood vessel prosthesis procedure	16	12	$469.13	$72.38
75952 Radiological supervision and interpretation of repair of artery of abdomen procedure	16	16	$1560.00	$238.16
34825 Insertion of prosthetic repair of bulging (aneurysm) abdominal or groin artery	13	12	$3044.69	$433.67
35301 Removal of blood clot and portion of artery of neck	12	11	$4608.33	$1258.32
75625 Radiological supervision and interpretation X-ray of abdominal aorta	11	11	$323.82	$58.40

Medical Specialties & State Licenses

CMS Verified: 2020-06-16

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MI 4301079685

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 4301079685

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Regents Of The University Of Michigan

1500 E Medical Ctr Dr B2 Floor R, Ann Arbor, MI 481090999

Phone: 7349366274

Regents Of The University Of Michigan

1500 E Medical Ctr Dr Level B, Ann Arbor, MI 481090999

Phone: 7346478901

Regents Of The University Of Michigan

8001 Challis Rd, Brighton, MI 481167446

Phone: 8102279510

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 3rd Fl Taubma, Ann Arbor, MI 481095000

Phone: 7346477321

Regents Of The University Of Michigan

1500 E Medical Ctr Dr, Ann Arbor, MI 481095000

Regents Of The University Of Michigan

7500 Challis Rd, Brighton, MI 481169416

Phone: 8102634000

Regents Of The University Of Michigan

1500 E Medical Ctr Dr, Ann Arbor, MI 481090999

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Floor, Ann Arbor, MI 481090999

Regents Of The University Of Michigan

1500 E Medical Ctr 2nd Floor Rec, Ann Arbor, MI 481090999

Phone: 7349365020

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Fl Rec F, Ann Arbor, MI 481095000

Phone: 7347645176

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Fl, Ann Arbor, MI 481095000

Phone: 7349364185

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Flo, Ann Arbor, MI 481090999

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 2nd Lr, Ann Arbor, MI 481090999

Phone: 7347635459

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Fl Rec D, Ann Arbor, MI 481095000

Phone: 7347645175

Regents Of The University Of Michigan

1500 E Medical Ctr, Ann Arbor, MI 481090999

Phone: 7349365738

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Sameer Saini , MD

Internal Medicine - Gastroenterology

NPI 1003039124

Doctor of Medicine (M.D.)

Dr. Kyle Perry , MD

Pathology - Cytopathology

NPI 1003053901

Doctor of Medicine (M.D.)

Dr. Michael Watson , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1003092040

Doctor of Medicine (M.D.)

Denise Berry , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003128356

Certified Registered Nurse Anesthetist

Dr. Ketti Petersen , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1003128919

Doctor of Medicine (M.D.)

Katherine Mccormack , PA-C

Physician Assistant

NPI 1003167321

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 16, 2020

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

📍

Updated Business Mailing Address June 16, 2020

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

✅

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2007

Registered at 1500 E. MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CTR RECP B, ANN ARBOR, MI 481095329 (Tel: 7349365850)

📍

Updated Business Mailing Address October 29, 2007

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤

Provider Name / Credentials Updated October 29, 2007

Recorded as JONATHAN ELIASON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Surgery (License #4301079685 in MI)

🟢

Initial NPI Registration & Enumeration January 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831177161

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2006

Last Update: June 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.