Individual
THOMAS W ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5202 MILLER RD, FLINT, MI 48507-1040
(810) 732-7700
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(866) 570-0077
(248) 479-0652
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TE086820
MI
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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