Individual
MRS. ELIZABETH ANN ROESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704161968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103045178
—
MI
01
—
420H26435
BLUE CROSS BLUE SHEILD
MI
Enumeration date
02/01/2007
Last updated
02/26/2020
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