Provider Demographics
NPI:1659577963
Name:PENSLER, ELIZABETH A (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:PENSLER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 71587
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-0587
Mailing Address - Country:US
Mailing Address - Phone:586-751-3480
Mailing Address - Fax:888-850-3877
Practice Address - Street 1:928 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1043
Practice Address - Country:US
Practice Address - Phone:248-268-4296
Practice Address - Fax:888-850-3877
Is Sole Proprietor?:No
Enumeration Date:2007-06-23
Last Update Date:2021-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017420208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery