Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eli Pearson Tidwell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043070543

Eli Pearson Tidwell is a Student in an Organized Health Care Education/Training Program in Ypsilanti, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5333 McAuley Dr
Ypsilanti, MI 48197-1014
Phone: (734) 712-3980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043070543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 20, 2024
Mailing address5333 McAuley Dr Rm 4001, Ypsilanti, MI 48197-1099

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