Individual
DR. DAVID YEHUDA ELLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33400 6 MILE RD, LIVONIA, MI 48152-3143
(734) 421-2020
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5175
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301094251
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301094251
MI
Other
Enumeration date
11/03/2009
Last updated
09/25/2024
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