| NPI | 1588550891 |
|---|---|
| Doing Business As | ELISE D FODOR, LLC |
| Entity Type | Organization |
| Authorized Contact | ELISE D FODOR Owner 248-202-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |