NPI 1174637599

Michael R Ellen MD Ps

Organisation Urology Physician Olympia, WA

Practice location

Address: 128 Lilly Rd NE Suite 205, Olympia, WA 98506-5029
Phone: (360) 754-3380

Authorised official

Name: Michael R Ellen
Title: Owner
Phone: (360) 754-3380

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD00026526 (WA)

Other Urology providers in Washington →

Registry record

NPI: 1174637599
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 22 Aug 2020

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.