Individual
BENJAMIN JOHN ELLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
7341 WILDERNESS PARK DR APT 303, WESTLAND, MI 48185-5974
(814) 359-8850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/08/2024
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