Individual
ELIZABETH ROSE EGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 S CANTON CENTER RD, SUITE 220, CANTON, MI 48188-1992
(734) 398-8790
(734) 398-8680
Mailing address
1600 S CANTON CENTER RD, SUITE 220, CANTON, MI 48188-1992
(734) 398-8790
(734) 398-8680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094055
MI
Other
Enumeration date
06/29/2009
Last updated
01/14/2014
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