Organization
ELITE VISITING PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD ELLISON JR. MD (PRESIDENT)
(313) 308-5120
Entity
Organization
Contact information
Practice address
24100 SOUTHFIELD RD STE 105, SOUTHFIELD, MI 48075-2850
(313) 308-5120
Mailing address
24100 SOUTHFIELD RD STE 105, SOUTHFIELD, MI 48075-2850
(313) 308-5120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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