Individual
MICHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614-8008
(419) 383-3780
(419) 383-3338
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-5322
(419) 383-6235
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35.125469
OH
207RI0200X
Infectious Disease Physician
MD32787
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133740
—
OH
Enumeration date
01/30/2006
Last updated
07/21/2022
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