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Individual

JUSTIN L. ELLERMAN

Active
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Individual

JUSTIN L. ELLERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.37491
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD.37491
AL
207RP1001X
Pulmonary Disease Physician
Primary
MD.37491
AL
208D00000X
General Practice Physician
MD35678
SC
208D00000X
General Practice Physician
MD44779
IA

Other

Enumeration date
05/28/2013
Last updated
07/07/2025
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