Doctor Name: | DR. ELSA ALCANTARA |
NPI Number: | 1467744763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301030631 |
Business Practice Address: | 53 Briarcliff Pl Grosse Pointe Shores, MI - 482361104 |
Business Phone Number: | 3138822813 |
Business Fax Number: | 3138822813 |
Mailing Address: | 53 Briarcliff Pl, GROSSE POINTE SHORES |
State: | MI |
Postal Code: | 482361104 |
Phone Number: | 3138822813 |
Fax Number: | 3138822813 |
NPI Enumeration Date: | 05/05/2011 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 4301030631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |