| Organization Name: | DR. D. M. ELEM PC |
| NPI Number: | 1063468387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DURENE MICHELLE ELEM-VAUGHN (PRESIDENT) |
| Mailing Address: | 1111 Fort St Lincoln Park |
| State: | MI US |
| Postal Code: | 481461802 |
| Phone Number: | 3133860000 |
| Fax Number: | 3133861597 |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 10/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 5901001503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |