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Andre Ellison
NPI 1043755523 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5000 Town Ctr
2405
Southfield, MI 48075 - Phone
- (248) 943-4107
- Organisation at this address
- Mainstream Media Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Sex
- Male
- Record last updated
- 2016-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan