Individual
ELIZABETH IWANKOVITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32131 HEATHWOOD ST, SAINT CLAIR SHORES, MI 48082-2204
(586) 863-3025
Mailing address
32131 HEATHWOOD ST, SAINT CLAIR SHORES, MI 48082-2204
(586) 863-3025
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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