Search › Michigan › 208D00000X
Matthew Ellison, D.O
NPI 1578185211 · on the registry since 2020
Practice
- Address
- 5635 W Fort St
Detroit, MI 48209 - Phone
- (313) 849-3920
- Organisation at this address
- Community Health And Social Services Center, Inc
Community Health And Social Services Center, Inc
Community Health And Social Services Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Additional practice sites
- 2799 W Grand Blvd, Detroit, MI
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-03
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