Individual
ELIZABETH LYNN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
30632 OAKRIDGE MANOR DR, ROSEVILLE, MI 48066-7739
(586) 872-0890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005393
MI
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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