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Individual

ELIZABETH A HAMBER

Active
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Individual

ELIZABETH A HAMBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301061785
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11277922
CAQH
01
4301061785
STATE LICENSE
MI
01
EH061785
BCBS & BCN PROVIDER LICEN
MI
Enumeration date
06/10/2006
Last updated
02/20/2017
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