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Search › Michigan › 207T00000X

Konstantin Elisevich, M.D

NPI 1841368651 · on the registry since 2006

Practice

Address
25 Michigan St Ne
Suite 6100
Grand Rapids, MI 49503
Phone
(616) 267-7900
Fax
(616) 267-7901
Organisation at this address
Brent Optical
Spectrum Health Hospitals
Spectrum Health Primary Care Partners
Grand Rapids Medical Education Partners
Alliance Physician Services Of Michigan, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
247

Registry record

Primary taxonomy
207T00000X
207T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-03

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