Individual
MR. MAURY RUBEN ELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28455 HAGGERTY RD, SUITE 200, NOVI, MI 48377-2982
(248) 893-3200
(248) 893-2950
Mailing address
6676 SOLUTIONS CTR, CHICAGO, IL 60677-6006
(248) 893-3220
(248) 893-2950
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
4301034191
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301034191
MI
208VP0000X
Pain Medicine Physician
4301034191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4212207
—
MI
Enumeration date
10/10/2005
Last updated
12/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us