Eric Jerome Eldridge

NPI #1902312531 in Redford, Michigan

Provider Information

NPI Number: 1902312531
Entity Type: Individual
Name: Eric Jerome Eldridge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 12285 DIXIE STE 100
City: Redford
State: Michigan
ZIP Code: 48239-2491
Phone: (313) 543-3393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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