Dr. Matthew Liceralde Elloso, MD
Dr. Matthew Liceralde Elloso, MD is an Internal Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.
- Licensed in
- MI
- In the registry since
- 2010
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 Michigan St NE Ste A721Grand Rapids, MI 49503-2560
Phone: (616) 391-3139
Fax: (616) 391-3044
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 4301096516 (MI) |
|---|
Record details
| NPI number | 1447563150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 22, 2010 |
| Last updated in NPPES | June 28, 2021 |
| Certification date | June 28, 2021 |
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