Individual
DR. ELIZABETH MARIE STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1753 FULTON ST, ELKHART, IN 46514-1927
(574) 293-9448
(574) 293-9480
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002858A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300092487
—
IN
Enumeration date
05/23/2024
Last updated
07/05/2024
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