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1063053346
ELISHEVA ELLENBERG
DETROIT, MI
NPI
1063053346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704312142)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
ELISHEVA ELLENBERG FNP-C
CHILDREN'S SPECIALTY CENTER 3950 BEAUBIEN STREET - 3RD FL
DETROIT, MI 48201-2119
Phone number: 313-832-9330
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Mailing Address
ELISHEVA ELLENBERG FNP-C
UNIVERSITY PEDIATRICIANS 4201 ST. ANTOINE - UHC 5D MAILBOX 226
DETROIT, MI 48201-2153
Phone number: 313-745-4405
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