Individual
DR. ROBERT WILLIAM ELLIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 W GRAND RIVER AVE, SUITE 260, HOWELL, MI 48843-2299
(517) 545-1010
(517) 545-1025
Mailing address
204 W GRAND RIVER AVE, SUITE 260, HOWELL, MI 48843-2299
(517) 545-1010
(517) 545-1025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301097679
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301097679
MI
Other
Enumeration date
01/05/2006
Last updated
06/09/2012
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