Individual
DR. NICHOLE KRISTINE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
187 S HOWELL ST, HILLSDALE, MI 49242-2069
(517) 437-5385
Mailing address
187 S HOWELL ST, HILLSDALE, MI 49242-2069
(517) 437-5385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101018596
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2008
Last updated
07/19/2010
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