Individual
ELISA QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-3000
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110137
MI
207RH0003X
Hematology & Oncology Physician
Primary
A162816
CA
Other
Enumeration date
06/07/2016
Last updated
07/06/2021
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