ELINE HAENEBALCKE WILSON

DETROIT, MI
NPI1174730444
Former NameELINE HAENEBALCKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MI  4301100277)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: CA  A116814)
Enumeration Date2007-05-17
Last Update Date2021-12-21
Business Address
DR. ELINE HAENEBALCKE WILSON MD
3750 WOODWARD AVE STE 200C
DETROIT, MI 48201-2007
Phone number: 313-993-4645
Mailing Address
DR. ELINE HAENEBALCKE WILSON MD
1420 STEPHENSON HWY SUITE 400-CREDENTIALING
TROY, MI 48083-1189
Phone number: 248-581-5970