SearchMichigan3747P1801X

Eligisel Mota

NPI 1700413200 · on the registry since 2020

Practice

Address
775 36th St Se
Grand Rapids, MI 49548
Phone
(616) 301-8000
Clinicians at this address
17

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan