Individual
VINCENT R ELIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
VE057786
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
VE057786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108123621
BCBSM
MI
05
—
4284888
—
MI
01
—
ON 26970
MEDICARE IDENTIFICATION NUMBER
MI
01
—
VE057786
MEDICAL LICENSE
MI
Enumeration date
07/09/2006
Last updated
06/17/2011
Update your record
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