Healthcare Provider Details

I. General information

NPI: 1225730351
Provider Name (Legal Business Name): ELIZABETH ABEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 MEDICAL CAMPUS DR
TRAVERSE CITY MI
49684-7823
US

IV. Provider business mailing address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2345
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-8000
  • Fax: 231-935-8099
Mailing address:
  • Phone: 231-935-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301517496
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: