Individual
JASON MAX ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4010 PAGE AVE, STE 104, MICHIGAN CENTER, MI 49254-1026
(248) 489-4044
(248) 489-4055
Mailing address
1001 WELCH RD, STE 111, COMMERCE TOWNSHIP, MI 48390-2864
(248) 779-9290
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301008416
MI
Other
Enumeration date
02/12/2007
Last updated
12/14/2020
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