Individual
LIZA WEATHERSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15540 BEECH DALY RD, REDFORD, MI 48239-3804
(313) 387-5253
(313) 387-5263
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076032
MI
Other
Enumeration date
01/23/2006
Last updated
11/17/2020
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