Individual
ELYSE RAYBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
3340 CIRCLE DR, COMMERCE TOWNSHIP, MI 48382-1957
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704168343
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704168343
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104570127
—
MI
Enumeration date
07/04/2006
Last updated
04/10/2026
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