Individual
MR. DOUGLAS EDWARD ELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
58115 MAIN ST, NEW HAVEN, MI 48048-2686
(586) 749-4444
Mailing address
58115 MAIN ST, NEW HAVEN, MI 48048-2686
(586) 749-4444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704280725
MI
363LF0000X
Family Nurse Practitioner
Primary
4704280725
MI
Other
Enumeration date
09/12/2016
Last updated
09/30/2016
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