Individual
EVETTE N ELSENETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7750
(248) 967-7297
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
035480
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220021537
RR MC
—
01
—
2206325081
BS
—
05
—
3207140
—
MI
01
—
382032989
TAX ID#
—
05
—
5214565
—
MI
01
—
P00422257
RRMC
—
Enumeration date
06/22/2006
Last updated
10/31/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us