Individual
DR. JOSHUA PETER ELLWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, M206A, KALAMAZOO, MI 49007-5341
(269) 488-8355
(269) 488-8356
Mailing address
601 JOHN ST, SUITE M206A, KALAMAZOO, MI 49007-5341
(269) 488-8355
(269) 488-8356
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301085515
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301085515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063615854
—
MI
01
—
2003907192
BCBS
MI
Enumeration date
06/08/2007
Last updated
11/27/2023
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