Individual
ELISA B. PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7330 E MICHIGAN AVE, SALINE, MI 48176-9197
(734) 652-3210
Mailing address
7330 E MICHIGAN AVE, SALINE, MI 48176-9197
(734) 652-3210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082194
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301082194
MI
Other
Enumeration date
03/28/2007
Last updated
06/25/2024
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