Individual
DR. ELAINA VAYNTRUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-1066
(734) 547-1072
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-1066
(734) 547-1072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301073103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770573958
—
MI
Enumeration date
10/27/2005
Last updated
05/11/2015
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