Individual
DR. ELISA JEANINE KOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7330 N CANTON CENTER RD, SUITE 209, CANTON, MI 48187-1538
(734) 454-8001
(734) 454-2715
Mailing address
7330 N CANTON CENTER RD, SUITE 209, CANTON, MI 48187-1538
(734) 454-8001
(734) 454-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301101444
MI
Other
Enumeration date
07/03/2012
Last updated
02/09/2017
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