Individual
JOHN ELENBAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE # MC49, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4351046782
MI
207P00000X
Emergency Medicine Physician
Primary
4351046782
MI
Other
Enumeration date
04/10/2020
Last updated
01/22/2025
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