Individual
DR. ELIZABETH CHURCH VANDERAUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Mailing address
3745 CASS ELIZABETH RD APT 304, WATERFORD, MI 48328-4542
(248) 390-3627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101016581
MI
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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