Provider Demographics
NPI:1184275380
Name:VAN OVERMEER, ELLE MARIE
Entity type:Individual
Prefix:
First Name:ELLE
Middle Name:MARIE
Last Name:VAN OVERMEER
Suffix:
Gender:
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR STE J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:
Practice Address - Street 1:301 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-5450
Practice Address - Country:US
Practice Address - Phone:734-221-5440
Practice Address - Fax:734-221-5492
Is Sole Proprietor?:No
Enumeration Date:2019-09-28
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant