NPI 1073982070

Bellis

Organisation Point of Service Farmington, MI

Practice location

Address: 33037 Grand River Ave, Farmington, MI 48336-3119
Phone: (248) 442-0034

Authorised official

Name: Brandi Ellis
Title: Owner
Phone: (248) 442-0034

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 7501005119 (MI)

Other Point of Service providers in Michigan →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence 2705003188 (MI)

Registry record

NPI: 1073982070
Entity type: Organization
NPI issued: 20 Sep 2015
Record last updated: 20 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.