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

Stephan Elliott

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376110643

Stephan Elliott is a Family Practice in Midland, Michigan. Qualified in 2021, 5 years ago. Practices with Mymichigan Medical Center Alma, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
5
Licensed in
MI, PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4000 Wellness Dr
Midland, MI 48670-2000
Phone: (989) 839-1644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 N Duke St, Lancaster, PA 17602-2250 — (717) 544-4940

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301511000 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT222820 (PA)

Record details

NPI number1376110643
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address4000 Wellness Dr, Midland, MI 48670-2000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mymichigan Medical Center Alma — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Midland