Individual
MS. ELIZABETH ANN PUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33166 MAPLENUT ST, FARMINGTON, MI 48336-4437
(734) 231-9548
Mailing address
33166 MAPLENUT ST, FARMINGTON, MI 48336-4437
(734) 231-9548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006341
MI
Other
Enumeration date
04/02/2012
Last updated
12/29/2020
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