Individual
ELISA MARIA ROSARIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23050 WEST RD STE 260, BROWNSTOWN TWP, MI 48183-1473
(734) 671-1867
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301513525
MI
207Q00000X
Family Medicine Physician
4351050819
MI
208D00000X
General Practice Physician
Primary
4301513525
MI
Other
Enumeration date
06/19/2023
Last updated
06/08/2026
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