Search › Michigan › 363A00000X
Ethel Mbombow, PA-C
NPI 1801121348 · on the registry since 2009
Practice
- Address
- 21409 Kelly Rd
Suite 400
Eastpointe, MI 48021 - Phone
- (586) 777-0630
- Fax
- (586) 777-0631
- Organisation at this address
- Instaclear Laboratory Llc
Internal Medicine Specialties Pc
Millenium Pain Management & TherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207R00000X
207R00000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-29
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