Individual
DR. ELLIE VIRGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, ASCENSION GENESYS HOSPITAL, GME, GRAND BLANC, MI 48439
(952) 221-4969
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151014264
MI
Other
Enumeration date
05/21/2020
Last updated
01/07/2021
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