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Lee Elisevich
Student in an Organized Health Care Education/Training Program in Midland, Michigan
NPI 1417623406

Lee Elisevich is a Student in an Organized Health Care Education/Training Program based in Saginaw, MI. Lee Elisevich practices in Midland, MI. The NPI Number for Lee Elisevich is 1417623406 and holds a License No. (Michigan).

The current practice location address for Lee Elisevich is 4000 Wellness Dr, Midland, MI and can be reached out via phone at 989-488-5752.

Location: 4000 Wellness Dr, Midland, MI, 48602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417623406
Provider Name
Lee Elisevich
Credential
Provider Entity Type
Individual
Gender
Male
Address
4000 Wellness Dr, Midland, MI, 48602
Phone Number
989-488-5752
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Wellness Dr
City
Midland
State
Michigan
Zip
48670-1000
Phone Number
989-488-5752
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Wellness Dr
City
Midland
State
Michigan
Zip
48670-1000
Phone Number
989-488-5752
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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