Individual
ANTHONY C ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(313) 550-3704
Mailing address
30714 HELMANDALE DR, FRANKLIN, MI 48025-1577
(313) 550-3704
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704314574
MI
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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