Organization
AT HOME PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD EUGENE ELLISON JR. M.D. (PRESIDENT)
(313) 477-9545
Entity
Organization
Contact information
Practice address
23155 NORTHWESTERN HWY, SUITE 401, SOUTHFIELD, MI 48075-7703
(248) 304-1700
(248) 304-1720
Mailing address
23155 NORTHWESTERN HWY, SUITE 401, SOUTHFIELD, MI 48075-7703
(248) 304-1700
(248) 304-1720
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
03/04/2011
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