Individual
ELIZABETH MARY TWEEDLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32500 CONCORD DR, MADISON HTS, MI 48071-1100
(866) 876-2747
(586) 620-6040
Mailing address
32500 CONCORD DR, MADISON HTS, MI 48071-1100
(866) 876-2747
(586) 620-6040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107216
MI
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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