Individual
ELYSE MARIE HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4400 HIGHLAND RD, WATERFORD, MI 48328-1222
(248) 618-6000
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101021911
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2015
Last updated
11/02/2021
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