NPI 1164556692
Michael J Ellenberg, MD
Practice location
- Address
- 28455 Haggerty Rd 200, Novi, MI 48377-2982
- Phone
- (248) 893-3200
- Mailing address
- 28455 Haggerty Rd STE 200, Novi, MI 48377-2982
Registered specialties (4)
Physical Medicine & Rehabilitation Physician
Primary
Electrodiagnostic Medicine Physician
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Interventional Pain Medicine Physician
Registry record
- NPI
- 1164556692
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Mar 2007
- Record last updated
- 14 Mar 2025
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.