Individual
ELIZABETH SOPHIA BAISE-BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
42171 ANN ARBOR RD E, PLYMOUTH, MI 48170-4370
(734) 927-4111
(734) 927-4410
Mailing address
42171 ANN ARBOR RD E, PLYMOUTH, MI 48170-4370
(734) 927-4111
(734) 927-4410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H215320
BCBS
MI
Enumeration date
11/09/2006
Last updated
06/28/2023
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