Individual
LISELLE DOUYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY C SUITE 1300, ANN ARBOR, MI 48105
(764) 998-2450
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301073601
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301073601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4371820
—
MI
Enumeration date
10/20/2006
Last updated
10/29/2019
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