Individual
ASHRAF M ELBANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 E WILLIAMS ST, OWOSSO, MI 48867-2360
(989) 725-6101
(989) 723-3601
Mailing address
113 E WILLIAMS ST, OWOSSO, MI 48867-2360
(989) 725-6101
(989) 723-3601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301097084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710208947
—
MI
Enumeration date
06/22/2010
Last updated
08/31/2016
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