Individual
DR. ELLEN FLATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(800) 288-8325
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301111228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407171341
—
MI
01
—
4301111228
MEDICAL LICENSE
MI
Enumeration date
04/04/2010
Last updated
09/29/2021
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