Individual
ELIZABETH KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11188 GLENIS DR, STERLING HEIGHTS, MI 48312-4948
(248) 703-0260
Mailing address
11188 GLENIS DR, STERLING HEIGHTS, MI 48312-4948
(248) 703-0260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704360838
MI
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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