Individual
DR. ELLEN ROTBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21700 NORTHWESTERN HWY FL 9, SOUTHFIELD, MI 48075-4906
(855) 445-4555
Mailing address
21700 NORTHWESTERN HWY FL 9, SOUTHFIELD, MI 48075-4906
(855) 445-4554
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301052943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301052943
—
MI
Enumeration date
03/27/2006
Last updated
03/16/2022
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