| Sandra L Ellis Md Pllc | |
|
19034 W 10 Mile Rd Southfield MI 48075-2401 | |
| (248) 353-2600 | |
| Not Available |
| Full Name | Sandra L Ellis Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19034 W 10 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Sandra L Ellis (OWNER) |
| Authorized Official Contact | 2483532600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L Ellis Md Pllc 19034 W 10 Mile Rd Southfield MI 48075-2401 Ph: () - | Sandra L Ellis Md Pllc 19034 W 10 Mile Rd Southfield MI 48075-2401 Ph: (248) 353-2600 |
| NPI Number | 1205166337 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205166337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SE070800 (Michigan) | Primary |
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