Individual
ELISA MARIA ROSARIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351050819
MI
208D00000X
General Practice Physician
Primary
4301513525
MI
Other
Enumeration date
06/19/2023
Last updated
02/07/2025
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