Individual
DR. ELIZABETH ANN CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M,S,
Contact information
Practice address
3875 BURTON ST SE, GRAND RAPIDS, MI 49546-5816
(616) 949-7510
Mailing address
3875 BURTON ST SE, GRAND RAPIDS, MI 49546-5816
(616) 949-7510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901018956
MI
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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