Individual
ELIZABETH J WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5629 STADIUM DR, STE B BRONSON INTERNAL MEDICINE OSHTEMO, KALAMAZOO, MI 49009-1952
(269) 544-3276
(269) 544-3288
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 544-3276
(269) 544-3288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301071879
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316917875
—
MI
01
—
1417961137
BCBSM - BMH
MI
05
—
4319769
—
MI
01
—
CA4396
RAILROAD MEDICARE
MI
Enumeration date
01/25/2006
Last updated
11/27/2023
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