Individual
ELIZABETH TODD EMBICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 MICHIGAN ST NE # MC106, GRAND RAPIDS, MI 49503-2543
(616) 391-1691
(616) 391-8611
Mailing address
221 MICHIGAN ST NE # MC106, GRAND RAPIDS, MI 49503-2543
(616) 391-1691
(616) 391-8611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301105795
MI
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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