Individual
DR. ELLIOTT I GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6962 SPRUCE HILL CT, BLOOMFIELD HILLS, MI 48301-3704
(248) 245-4833
Mailing address
6962 SPRUCE HILL CT, BLOOMFIELD HILLS, MI 48301-3704
(248) 245-4833
(248) 737-0159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101005633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188028-11
—
MI
05
—
1791545-11
—
MI
05
—
3142396-11
—
MI
05
—
4865778-11
—
MI
Enumeration date
10/05/2005
Last updated
06/28/2022
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