Individual
MS. ELLEN BETH OZOLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44050 W 12 MILE RD, NOVI, MI 48377-2612
(248) 735-3800
(248) 308-2155
Mailing address
44050 W 12 MILE RD, NOVI, MI 48377-2612
(248) 735-3800
(248) 308-2155
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
EO065676
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
EO065676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104422349
—
MI
Enumeration date
06/28/2005
Last updated
06/16/2018
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