Individual
DR. MARISA ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 546-2110
Mailing address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 546-2110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301108364
MI
Other
Enumeration date
07/14/2015
Last updated
06/24/2022
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