Individual
ELIZABETH KATHERINE MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 848-3642
Mailing address
2799 W GRAND BLVD DEPT OF, DETROIT, MI 48202-2608
(313) 916-3284
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301511708
MI
2086S0102X
Surgical Critical Care Physician
Primary
4301511708
MI
Other
Enumeration date
03/24/2018
Last updated
03/27/2025
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