Organization
MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Active
Organization
MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID YEHUDA ELLENBERG (OWNER)
(734) 421-2020
Entity
Organization
Contact information
Practice address
415 E MAPLE RD STE 100, TROY, MI 48083-2731
(248) 526-1010
(248) 526-1717
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(313) 530-5494
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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