Brian Ellis
NPI #1992105878 in Harper Woods, Michigan
Provider Information
- NPI Number
- 1992105878
- Entity Type
- Individual
- Name
- Brian Ellis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 28, 2014
- Last Updated
- Aug 28, 2014
Practice Location
- Address
- 19000 EASTWOOD DR
- City
- Harper Woods
- State
- Michigan
- ZIP Code
- 48225-2080
- Phone
- (313) 515-7002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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