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Organization
VINCENT R. ELIE MD, PLC
Active
Organization
VINCENT R. ELIE MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT R ELIE MD (SOLE MEMBER/PHYSICIAN)
(734) 417-7054
Entity
Organization
Contact information
Practice address
105 1/2 S MAIN ST, CHELSEA, MI 48118-1265
(734) 417-7054
(734) 433-1548
Mailing address
105 1/2 S MAIN ST, CHELSEA, MI 48118-1265
(734) 417-7054
(734) 433-1548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
VE 057786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108123621
BCBS
MI
01
—
1740213115
NPI TYPE 1
—
05
—
4284888
—
MI
01
—
ON 260970
MEDICARE ID NUMBER
—
01
—
VE057786
LICENSE
MI
Enumeration date
05/20/2011
Last updated
05/20/2011
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