Individual
ELAINA MOLTER SHADRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 W SAGINAW RD, SANFORD, MI 48657-9206
(989) 687-9940
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.158218
IL
207Q00000X
Family Medicine Physician
Primary
4301508089
MI
Other
Enumeration date
03/19/2018
Last updated
05/07/2026
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