We believe exceptional healthcare starts with a genuine relationship.
Enhanced Internal Medicine was founded to bring primary care back to what truly matters: personal attention and long-term wellness. We provide thoughtful, comprehensive evaluations that go beyond routine checklists, allowing for a deeper understanding of each patient’s health. By moving beyond the constraints of insurance-driven care, our focus shifts to prevention and meaningful continuity.
MEET YOUR PHYSICIAN
Elizabeth Paluga, MD
Elizabeth Paluga, MD is a board-certified Internal Medicine physician and the founder of Enhanced Internal Medicine, a membership-based medical practice built on personalized, relationship-driven primary care. A Michigan native, she graduated from the University of Notre Dame, attended medical school at Oakland University William Beaumont School of Medicine, and completed her residency training at the University of Michigan. Prior to founding Enhanced Internal Medicine, she worked on faculty at Northwestern Medicine in Chicago and Michigan Medicine in Ann Arbor.
Away from her practice, Dr. Paluga enjoys an active life with her husband, Dan, and their three daughters. Now, returning back to suburban Detroit, she is proud to serve the community where her medical career began — offering thoughtful, connected healthcare that reflects the kind of care she would want for her own family.
Schedule a free meet-and-greet with us.
This acts as an opportunity to discuss expectations, explore our approach, and ensure the practice is the right fit for your needs. Click below to schedule yours today.
Care doesn’t stop when the appointment ends.
Membership at Enhanced Internal Medicine allows for a more personal approach to care. By limiting the practice to no more than 300 patients, Dr. Paluga can dedicate the time and attention needed to address each patient’s health concerns promptly and thoroughly. This care model has been in place for over 100 years and offers services beyond those covered by insurance.
This is the kind of care we believe every patient should have — personal, attentive care grounded in strong physician-patient relationships.

