Individual
MRS. ELIZABETH A PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES, FOUST HALL 249, MT PLEASANT, MI 48859-0001
(959) 774-1748
(989) 774-4335
Mailing address
CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES, FOUST HALL 249, MT PLEASANT, MI 48859-0001
(959) 774-1748
(989) 774-4335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301081976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291176
BCBS
MI
01
—
P00350565
RAILROAD MEDICARE PTAN
MI
Enumeration date
06/27/2006
Last updated
01/23/2012
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