Organization
MEDSPA WOMAN'S HELATHCARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIUS RODNEY ELLIS M.D. (DOCTOROWNER)
(219) 362-4690
Entity
Organization
Contact information
Practice address
901 LINCOLNWAY, SUITE 306, LA PORTE, IN 46350-3430
(219) 362-4690
(219) 362-4692
Mailing address
901 LINCOLNWAY, SUITE 306, LA PORTE, IN 46350-3430
(219) 362-4690
(219) 362-4692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01052711A
IN
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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