Organization
ELISE D FODOR, LLC
Active
Organization
ELISE D FODOR, LLC
Active
Other names
Elise D Fodor, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE D FODOR FNP-C (OWNER)
(248) 202-3599
Entity
Organization
Contact information
Practice address
1380 COOLIDGE HWY STE 110, TROY, MI 48084-7067
(248) 280-1867
(248) 280-0222
Mailing address
4230 LOU MAR LN, LAKE ORION, MI 48359-1905
(248) 202-3599
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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