Individual
ELIZABETH RENEE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30335 W 13 MILE RD STE 103, FARMINGTON HILLS, MI 48334-2262
(248) 419-3400
(248) 419-3410
Mailing address
30335 W 13 MILE RD STE 103, FARMINGTON HILLS, MI 48334-2262
(248) 419-3400
(248) 419-3410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287993
MI
Other
Enumeration date
10/13/2017
Last updated
11/19/2019
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