Blunden, Elizabeth Gail

Blunden, Elizabeth Gail is an individual health care provider with primary practice located at 16815 E Jefferson Ave Ste 120 , Grosse Pointe MI 48230-1923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blunden, Elizabeth Gail can be contacted via phone (586) 498-4400.

Contact Information

Primary practice address
16815 E Jefferson Ave Ste 120 Grosse Pointe MI 48230-1923
Phone: (586) 498-4400
Fax: (586) 498-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301059826 Michigan

Profile Details

NPI number 1134129588
LBN Legal business name Blunden, Elizabeth Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134129588 NPPES
Michigan MEDICAID 4599143-10

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