Individual
DR. ELIZABETH COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 102, GRAND RAPIDS, MI 49503-2556
(616) 391-1929
Mailing address
130 TOWN CENTER DR, STE 203, TROY, MI 48084-1744
(248) 585-8271
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301100934
MI
Other
Enumeration date
06/18/2012
Last updated
08/03/2016
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