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

Stephanie Ene, PA

Individual provider Physician Assistant · NPI 1528886157

Stephanie Ene, PA is a Physician Assistant in Redford, Michigan. Qualified in 2024, 2 years ago. Practices with Academic Dermatology and Cosmetic Surgery Center PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14671 Telegraph Rd
Redford, MI 48239-3300
Phone: (313) 948-3055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1528886157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Academic Dermatology And Cosmetic Surgery Center Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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