Mary Jo Elnick MD

NPI 1164404471 - Ophthalmology - 207W00000X

NPI Details
NPI 1164404471
Gender Female
Enumeration Date 11/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
22250 PROVIDENCE DR
STE 304
SOUTHFIELD MI, 48075, US
Phone (248) 569-4366
Fax (248) 569-4614
Business Location
22250 PROVIDENCE DR
STE 304
SOUTHFIELD MI, 48075, US
Phone (248) 569-4366
Fax (248) 569-4614
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number ME404005
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According to our database, Dr. Mary Jo Elnick MD NPI is 1164404471, taxonomy code is 207W00000X and license number is ME404005, license state is located at Michigan. Mary Jo Elnick MD physically located at 22250 Providence Dr, Southfield MI, 48075. NPI Number Mary Jo Elnick MD has the Individual type.

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1164404471 NPI number is provided on an as is basis without warranty of any kind. 1164404471 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jo Elnick MD are for informational purposes only.