NPI 1043755523

Andre Ellison

Practitioner Private Vehicle Southfield, MI

Practice location

Address: 5000 Town Ctr 2405, Southfield, MI 48075-1110
Phone: (248) 943-4107

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

Other Private Vehicle providers in Michigan →

Registry record

NPI: 1043755523
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2016
Record last updated: 20 Dec 2016

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.