Individual
ELEANOR A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301083120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020845
MCLAREN HEALTH PLAN
MI
01
—
200000006359
PHYSICIANS HEALTH PLAN
MI
01
—
350D410030
BLUE CROSS BLUE SHIELD
MI
05
—
4915735
—
MI
01
—
AAH000
HEALTHNET
MI
Enumeration date
02/12/2007
Last updated
11/24/2025
Update your record
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