Individual
ALEXANDRA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
(231) 935-3696
Mailing address
3875 EAGLE PASS, WILLIAMSBURG, MI 49690-8609
(231) 922-4850
(231) 935-3696
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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