NPI 1003341041

Maxine Ellison, MA

Practitioner Other Technician Novi, MI

Practice location

Address: 41521 W 11 Mile Rd, Novi, MI 48375-1803
Phone: (248) 299-0030

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Michigan →

Registry record

NPI: 1003341041
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2017
Record last updated: 27 Apr 2017

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.