Individual
DR. ROY C ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
214 E HANCOCK ST, #308, DETROIT, MI 48201-1416
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301052020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102668958
—
MI
01
—
RE052020
BC/BS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
08/26/2009
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