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Individual
DR. ELIZA M PARKER
Active
Individual
DR. ELIZA M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036123192
IL
208000000X
Pediatrics Physician
4301086462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4779704
—
MI
01
—
EP086462
BC/BS
MI
Enumeration date
06/12/2006
Last updated
09/13/2012
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