Provider Demographics
NPI:1912281148
Name:KRAUS, ELISABETH GRAHAM (DVM)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:GRAHAM
Last Name:KRAUS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22737 CYPRUS DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-8512
Mailing Address - Country:US
Mailing Address - Phone:248-924-3065
Mailing Address - Fax:
Practice Address - Street 1:22737 CYPRUS DR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-8512
Practice Address - Country:US
Practice Address - Phone:248-924-3065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901009494174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian