Individual
ELIZABETH NEUBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-1835
(616) 685-1846
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301054925
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4502459
—
MI
05
—
4545699
—
MI
Enumeration date
05/18/2006
Last updated
08/24/2011
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