Individual
ELISSA CIBULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
21924 GAUKLER ST, SAINT CLAIR SHORES, MI 48080-2329
(586) 596-4233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704362170
MI
Other
Enumeration date
12/07/2024
Last updated
12/10/2024
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