Steven S. Ellinger, Od, Plc

NPI #1205955937 in Portage, Michigan

Provider Information

NPI Number: 1205955937
Entity Type: Organization
Organization Name: Steven S. Ellinger, Od, Plc
Primary Specialty: Clinic/Center
Enumeration Date: Mar 27, 2007
Last Updated: Sep 14, 2016

Practice Location

Address: 1612 E. CENTRE AVE.
City: Portage
State: Michigan
ZIP Code: 49002-4410
Phone: (269) 329-1030

Authorized Official

Name: DR. STEVEN S. ELLINGER, O.D.
Title: SOLE MEMBER
Phone: (269) 329-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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