SearchMichigan208100000X

Maury Ellenberg, MD

NPI 1245228790 · on the registry since 2005

Practice

Address
28455 Haggerty Rd
Suite 200
Novi, MI 48377
Phone
(248) 893-3200
Fax
(248) 893-2950
Organisation at this address
Rppcpt Pllc
Reliable Medical Supply
Wolverine Orthotics, Inc.
Michigan Cancer Center Pc
Infinity Primary Care, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
208VP0000X
204D00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-29

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