Physician Assistant
BLAISE EBY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1114599230 · enumerated 2021-07-16 · record updated 2023-03-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1 FORD PL STE 3A, DETROIT, MI, 48202-3450 (313) 876-4806 Fax (313) 876-1305 Google Maps Apple Maps OpenStreetMap
- Practice location 2799 W GRAND BLVD, DETROIT, MI, 48202-2608 (800) 653-6568 Fax (313) 876-1305 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X
- Physician Assistant 363A00000X · Primary · License 5601011612 MI
In this directory
Locations and evidence
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Practice location
DETROIT, MI, 482022608
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.