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1124095880
LISA B. ELCONIN
WEST BLOOMFIELD, MI
NPI
1124095880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301060119)
Enumeration Date
2006-03-01
Last Update Date
2011-08-05
Business Address
-- LISA B. ELCONIN M.D.
5777 W MAPLE RD SUITE 140
WEST BLOOMFIELD, MI 48322-2267
Phone number: 248-406-1000
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Mailing Address
-- LISA B. ELCONIN M.D.
5777 W MAPLE RD SUITE 140
WEST BLOOMFIELD, MI 48322-2267
Phone number: 248-406-1000
Copy
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