Individual
MR. ELLIS D EWING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1304 W MAUMEE ST APT 2, ADRIAN, MI 49221-1836
(517) 759-2704
Mailing address
1304 W MAUMEE ST APT 2, ADRIAN, MI 49221-1836
(517) 759-2704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501014073
MI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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