ELIZABETH ELAINE BUSHONG

GRAND RAPIDS, MI
NPI1215630454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208200000X Plastic Surgery
(Licence: MI  4351052917)
Enumeration Date2023-03-27
Last Update Date2024-06-25
Business Address
ELIZABETH ELAINE BUSHONG
330 BARCLAY AVE NE STE 104
GRAND RAPIDS, MI 49503-2525
Phone number: 616-391-6243
Mailing Address
ELIZABETH ELAINE BUSHONG
330 BARCLAY AVE NE STE 104
GRAND RAPIDS, MI 49503-2525
Phone number: 616-391-6243