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Individual

RITA ELIAS

Active
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Individual

RITA ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
5101028590
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
5101028590
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2018
Last updated
09/22/2025
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