Individual
ELISA M. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(989) 348-1040
(989) 348-0059
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101015023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4928484
—
MI
Enumeration date
08/30/2006
Last updated
01/10/2022
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