Provider Demographics
NPI:1649451998
Name:BRIEDEN, ELIZABETH PATRICIA (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PATRICIA
Last Name:BRIEDEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1820 SINCLAIR ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079-5905
Mailing Address - Country:US
Mailing Address - Phone:810-329-9900
Mailing Address - Fax:810-329-0900
Practice Address - Street 1:1820 SINCLAIR ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079-5905
Practice Address - Country:US
Practice Address - Phone:810-329-9900
Practice Address - Fax:810-329-0900
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor