Individual
DR. MICHAEL BARRY GELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(313) 874-4806
(313) 876-1305
Mailing address
36800 WOODWARD AVE STE 109, BLOOMFIELD HILLS, MI 48304-0916
(248) 642-4846
(248) 642-5313
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2735A
WY
208200000X
Plastic Surgery Physician
30028
NC
208200000X
Plastic Surgery Physician
Primary
4301030689
MI
208200000X
Plastic Surgery Physician
MD430264
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101090399
—
MI
Enumeration date
03/08/2007
Last updated
07/13/2026
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