Dr Latorya Ann Ellison, MD | |
13667 Eureka Rd, Southgate, MI 48195-1332 | |
(734) 256-0086 | |
Not Available |
Full Name | Dr Latorya Ann Ellison |
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Gender | Female |
Speciality | Family Medicine |
Location | 13667 Eureka Rd, Southgate, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1669963047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4351032547 (Michigan) | Primary |
Entity Name | Osh-mi Physicians Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
Mailing Address | Practice Location Address |
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Dr Latorya Ann Ellison, MD Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Dr Latorya Ann Ellison, MD 13667 Eureka Rd, Southgate, MI 48195-1332 Ph: (734) 256-0086 |
Dr. Manish Bolina, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15777 Northline Rd Ste 101, Southgate, MI 48195 Phone: 734-324-9580 | |
Dr. John Renaldson Orelien, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100 | |
Dr. Amal Mohamed Ali Abdul-hussein, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090 | |
Sanjukta Sridharan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195 Phone: 734-246-8100 Fax: 734-324-9527 | |
Aaron J Blanzy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14319 Dix-toledo Rd, Southgate, MI 48195 Phone: 734-285-0677 Fax: 734-285-3574 | |
Angela Moughni, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 14319 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-285-0677 Fax: 734-285-3574 | |
Christine Climie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15777 Northline Rd, Southgate, MI 48195 Phone: 734-246-8100 |