Individual
ELAN REISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24505 FRANKLIN FARMS DR, FRANKLIN, MI 48025-2216
(202) 997-5007
Mailing address
24505 FRANKLIN FARMS DR, FRANKLIN, MI 48025-2216
(202) 997-5007
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
000000000
MI
Other
Enumeration date
07/18/2006
Last updated
11/12/2013
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