Individual
ELIZABETH L RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4160 JOHN R ST STE 615, DETROIT, MI 48201-2022
(313) 745-4195
(313) 993-8669
Mailing address
4160 JOHN R ST STE 615, DETROIT, MI 48201-2022
(313) 745-4195
(313) 993-8669
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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