Individual
ELLEN MADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2300 HAGGERTY RD, SUITE 1175, WEST BLOOMFIELD, MI 48323-2184
(248) 624-8338
(248) 926-9498
Mailing address
2300 HAGGERTY RD, SUITE 1175, WEST BLOOMFIELD, MI 48323-2184
(248) 624-8338
(248) 926-9498
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001825
MI
Other
Enumeration date
10/28/2005
Last updated
07/14/2010
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