| Brian Ellis, | |
|
19000 Eastwood Dr, Harper Woods, MI 48225-2080 | |
| (313) 515-7002 | |
| Not Available |
| Full Name | Brian Ellis |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 19000 Eastwood Dr, Harper Woods, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992105878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703113969 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Ellis, 19000 Eastwood Dr, Harper Woods, MI 48225-2080 Ph: (313) 515-7002 | Brian Ellis, 19000 Eastwood Dr, Harper Woods, MI 48225-2080 Ph: (313) 515-7002 |
Michelle Dantzler, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 19288 Edgefield St, Harper Woods, MI 48225 Phone: 586-222-9175 | |
Andrea Misuraca, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20855 Beaufait St, Harper Woods, MI 48225 Phone: 313-410-5267 | |
April Jordan-polk, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20514 Beaufait St, Harper Woods, MI 48225 Phone: 313-525-0848 | |
Dawn Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20514 Beaufait St, Harper Woods, MI 48225 Phone: 419-799-1809 | |
Kaddijatou Jallow, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 18566 Woodcrest St, Harper Woods, MI 48225 Phone: 586-498-6013 | |
Laquin Alexander, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 18768 Elkhart St, Harper Woods, MI 48225 Phone: 313-459-6218 | |
Jeffrey Brooks, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20415 Balfour St, Apt 4, Harper Woods, MI 48225 Phone: 313-525-1568 |