Organization
TRI COUNTY ENDOCRINOLOGY & NUCLEAR MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE ROSE ELANDT (OFFICE ADMINISTRATOR)
(586) 294-4820
Entity
Organization
Contact information
Practice address
14049 E 13 MILE RD, SUITE 6, WARREN, MI 48088-5876
(586) 294-4820
(586) 294-7881
Mailing address
14049 E 13 MILE RD, SUITE 6, WARREN, MI 48088-5876
(586) 294-4820
(586) 294-7881
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H26347
BCBS GRP NO
MI
Enumeration date
07/07/2006
Last updated
07/16/2008
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