Individual
ELIZABETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 CENTER ST, CROSWELL, MI 48422-1321
(810) 712-7001
Mailing address
14 CENTER ST, CROSWELL, MI 48422-1321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704244769
MI
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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