Individual
ELIZABETH GAIL BLUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16815 E JEFFERSON AVE STE 120, GROSSE POINTE, MI 48230-1923
(586) 498-4400
(586) 498-4440
Mailing address
DEPARTMENT 771036, P.O. BOX 77000, DETROIT, MI 48277-0001
(586) 447-4171
(586) 447-4180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301059826
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4599143-10
—
MI
Enumeration date
07/28/2005
Last updated
01/23/2025
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