Provider Demographics
NPI:1083683346
Name:ELNICK, ALAN J (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:ELNICK
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:108 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1212
Mailing Address - Country:US
Mailing Address - Phone:989-652-3663
Mailing Address - Fax:989-652-3663
Practice Address - Street 1:902 E LEITH ST.
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48550-0001
Practice Address - Country:US
Practice Address - Phone:810-236-1474
Practice Address - Fax:810-236-4013
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010465892083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine