Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 4301503220 | MI |
N | 207X00000X | Orthopaedic Surgeon | A132012 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A132012 | CA |
NPI | 1013172113 |
---|---|
Provider Name | Elizabeth Ann Dailey |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 05/11/2020 |