Individual
ELIZABETH FISHER PALLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 PARK ST, SUITE 101, MUSKEGON, MI 49444-3736
(231) 737-0411
(231) 739-8502
Mailing address
766 OAKMERE PL, NORTH MUSKEGON, MI 49445-2874
(231) 719-8517
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301051402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2929016
—
MI
Enumeration date
08/10/2005
Last updated
02/21/2013
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