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Individual

ELIZABETH ANN MCGLOTHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301108540
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124394945
MI
Enumeration date
03/26/2012
Last updated
03/25/2019
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