Provider Demographics
NPI:1346092145
Name:DOPPEL, ELISE M (MPH CCRC, FNTP, RWP)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:M
Last Name:DOPPEL
Suffix:
Gender:F
Credentials:MPH CCRC, FNTP, RWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33827 COACHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-6515
Mailing Address - Country:US
Mailing Address - Phone:586-804-6948
Mailing Address - Fax:
Practice Address - Street 1:33827 COACHWOOD DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-6515
Practice Address - Country:US
Practice Address - Phone:586-804-6948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach