Individual
MRS. ELZBIETA WIESLAWA BABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
15450 NORTHLINE RD. SUITE 101, SOUTHGATE, MI 48195-7952
(734) 225-1315
(877) 892-4080
Mailing address
14600 KING RD # A, RIVERVIEW, MI 48193-7952
(734) 479-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704294575
MI
Other
Enumeration date
08/30/2017
Last updated
06/26/2023
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