Individual
DR. MICHAEL ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D., M.P.H.
Contact information
Practice address
615 E 82ND AVE STE 300, ANCHORAGE, AK 99518-3159
(907) 344-7775
(907) 522-3114
Mailing address
615 EAST 82ND AVE SUITE 300, ANCHORAGE, AK 99518-3159
(907) 344-7775
(907) 522-3114
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
48
AK
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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