Individual
ELIZABETH PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1035 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
(517) 622-1242
Mailing address
425 W 5TH ST, MEDICAL EDUCATION, EAST LIVERPOOL, OH 43920-2405
(330) 386-2793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101024846
MI
Other
Enumeration date
05/11/2016
Last updated
08/13/2019
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