Individual
ELISHA BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
(248) 338-5567
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
(248) 338-5567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101017795
MI
207P00000X
Emergency Medicine Physician
Primary
OP60349605
WA
207R00000X
Internal Medicine Physician
5101017795
MI
Other
Enumeration date
08/15/2008
Last updated
05/12/2026
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