Individual
ELIZABETH ELAINE BUSHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-6243
Mailing address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-6243
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4351052917
MI
Other
Enumeration date
03/27/2023
Last updated
03/08/2025
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