Individual
ELIZABETH CAROL DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP D, ANN ARBOR, MI 48109-5366
(734) 647-5922
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004959
MI
363AM0700X
Medical Physician Assistant
50-00-2063
OH
Other
Enumeration date
07/12/2005
Last updated
10/06/2008
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