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1912969700

NPI Code Detail

MEDICARE: ELIZABETH S. FERIK DO

MEDICARE: ELIZABETH S. FERIK DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	5101014624	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1016412	OTHER	MI	MCLAREN HEALTH PLAN
2	160C311260	OTHER	MI	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7897757	OTHER	MI	AETNA
5	160C311260	OTHER	MI	BLUE CHOICE
6	1653311355	OTHER	MI	BLUE CROSS BLUE SHIELD
7	1016412	OTHER	MI	HEALTH ADVANTAGE
8	160C311260	OTHER	MI	BLUE CARE NETWORK
9	I44110	OTHER	MI	HEALTH NET FEDERAL SERVIC
10	0700436	OTHER	MI	PHYSICIANS HEALTH PLAN
11	160C311260	OTHER	MI	COMMUNITY CHOICE

General Provider Information

NPI Number	:	1912969700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH S. FERIK DO

Provider Business Mailing Address
First Line	:	401 S BALLENGER HWY
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3638
Country	:	US
Telephone Number	:	810-342-1000
Fax Number	:	810-342-1590

Provider Business Practice Location Address
First Line	:	2316 S CEDAR ST
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-3152
Country	:	US
Telephone Number	:	517-702-4300
Fax Number	:	517-702-4301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	01/21/2014

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Directions to “ ELIZABETH S. FERIK DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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