Individual
DR. KATHERINE RENEE ELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3537 W FRONT ST STE G, TRAVERSE CITY, MI 49684-7943
(231) 935-8827
(231) 935-8837
Mailing address
3537 W FRONT ST STE G, TRAVERSE CITY, MI 49684-7943
(231) 935-8827
(231) 935-8837
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01069528A
IN
208000000X
Pediatrics Physician
Primary
4301092780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201022360
—
IN
Enumeration date
07/02/2008
Last updated
11/07/2016
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