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Individual

DR. ELISE MICHELLE MCCORMACK-GRANJA

Active
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Individual

DR. ELISE MICHELLE MCCORMACK-GRANJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD038046
DC
207R00000X
Internal Medicine Physician
MD13250
RI
207R00000X
Internal Medicine Physician
Primary
ME116563
FL

Other

Enumeration date
04/16/2009
Last updated
07/20/2022
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