Individual
ELLEN BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5127
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101021843
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
5101025226
MI
Other
Enumeration date
06/02/2015
Last updated
02/17/2020
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