Individual
ELIZABETH RUTH TUNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
23467 BOLLER CT, BROWNSTOWN, MI 48183-2185
(734) 752-1277
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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