Provider Demographics
NPI:1285758755
Name:ELDON, ELIZABETH JANE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JANE
Last Name:ELDON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6021 CARROLL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3136
Mailing Address - Country:US
Mailing Address - Phone:248-363-5094
Mailing Address - Fax:313-961-0353
Practice Address - Street 1:220 BAGLEY ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-1400
Practice Address - Country:US
Practice Address - Phone:313-961-7990
Practice Address - Fax:313-961-0353
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43014070712084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry