Individual
KATHARINA E ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, SUITE M005, KALAMAZOO, MI 49007-5341
(269) 341-6350
(269) 341-8580
Mailing address
601 JOHN ST, SUITE M005, KALAMAZOO, MI 49007-5341
(269) 341-6350
(269) 341-8580
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301072976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
05
—
1710956347
—
MI
01
—
3503904111
BCBS
—
05
—
4186840
—
MI
Enumeration date
03/16/2006
Last updated
11/27/2023
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