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Individual

DR. MICHAEL TODD ELLERBUSCH

Active
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Individual

DR. MICHAEL TODD ELLERBUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD.21044
AL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
MD.21044
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009933849
AL
01
56685
BCBS OF ALABAMA
AL
Enumeration date
05/05/2006
Last updated
05/09/2023
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