Individual
ELIZABETH PUTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13450 E 12 MILE RD, WARREN, MI 48088-3671
(586) 759-5525
(586) 759-4022
Mailing address
9427 BONCREST ST, COMMERCE TOWNSHIP, MI 48382-4209
(248) 763-3824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2022
Last updated
04/28/2023
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