Individual
SAMUEL BROOK ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 236, CHARLOTTE, MI 48813-0236
(517) 543-1115
Mailing address
PO BOX 236, CHARLOTTE, MI 48813-0236
(517) 543-1115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401616
MI
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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