Individual
ELMER AGNO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8380 GEDDES RD, YPSILANTI, MI 48198-9404
(734) 547-7600
Mailing address
33575 BAY HILL DR, ROMULUS, MI 48174-6423
(734) 905-9148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004210
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501004210
NA
MI
Enumeration date
09/11/2019
Last updated
09/11/2019
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