Individual provider · NPI-1

Rebecca Rose Elzinga, DPM

Podiatrist · Lansing, MI

NPI number1760617518

StatusActive

Last updated in NPPESMar 17, 2018

Details

NPI: 1760617518
Entity type: Individual (NPI-1)
Name: Rebecca Rose Elzinga
Credential: DPM
Sex: Female
Sole proprietor: No
Enumeration date: May 22, 2009
Last updated: Mar 17, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
213E00000X	Podiatrist	5901002467	MI	Yes
213E00000X	Podiatrist	sc006287	PA
390200000X	Student in an Organized Health Care Education/Training Program	–	AZ

Other names

Rebecca Rose Haugen (Former Name)

Practice location

4774 Grandwoods Dr
Lansing, MI 48917-1330

Phone 517-721-1298 · Fax 517-721-1829

Mailing address

4774 Grandwoods Dr
Lansing, MI 48917-1330

Phone 517-721-1298 · Fax 517-721-1829

Other practice locations

24445 Northwestern Hwy
Suite 206
Southfield, MI 48075-6501

Phone 248-799-0086 · Fax 248-350-1178

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