Michael J Ellenberg in Novi - Physical Medicine & Rehabilitation

Michael J Ellenberg - NPI 1164556692

Michael J Ellenberg is a Physical Medicine & Rehabilitation in Novi, Michigan. Michael J Ellenberg practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Michael J Ellenberg is 1164556692. The last update date is 2023-07-10.

Michael J Ellenberg's current location address is 28455 Haggerty Rd Ste 200, Novi, Michigan. You can contact this provider via phone number 2488933200 and fax number 2488932950. The mailing address for Michael J Ellenberg is 28455 Haggerty Rd Ste 200, Novi, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Ellenberg
Address 28455 Haggerty Rd Ste 200, Novi, Michigan
Phone Number 2488933200
Fax Number 2488932950
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164556692
Provider Enumeration Date 2007-03-15
Last Updated Date 2023-07-10

Provider Mailing Address Detail

Address 28455 Haggerty Rd Ste 200
City Novi
State Michigan (MI)
Post Code 483772982
Phone Number 2488933200
Fax Number 2488932950

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 4301086085
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9310121 MI BCBSM PIN
4301086085 MI STATE LISC

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FAQs about Michael J Ellenberg

What is the unique 10-digit identifier code assigned to Michael J Ellenberg by the Centers for Medicare & Medicaid Services?

The Michael J Ellenberg has been issued the NPI (National Provider Identifier) 1164556692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Michael J Ellenberg is physically located?

The Michael J Ellenberg is situated at the following address: 28455 Haggerty Rd Ste 200, Novi, MI 483772982.

What is Michael J Ellenberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael J Ellenberg is Physical Medicine & Rehabilitation, and the taxonomy code that categorizes this field of expertise is 208100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164556692 to Michael J Ellenberg?

The Centers for Medicare & Medicaid Services assigned the 1164556692 to Michael J Ellenberg on 2007-03-15.

When was the information regarding Michael J Ellenberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael J Ellenberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-10.

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