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Search › Michigan › 235Z00000X

Ellianne Martin

NPI 1770212342 · on the registry since 2022

Practice

Address
710 Kenmoor Ave Se Ste 110
Grand Rapids, MI 49546
Phone
(616) 591-2905
Fax
(616) 333-2321
Organisation at this address
The Imaging Center Pc
Javery Pain Institute Pc
Paper Plane Therapies, Llc
Intervention Insights Inc.
Western Michigan Pediatrics, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-08

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