JESSE ELLSWORTH

SAGINAW, MI
NPI1063827582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  4301106067)
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
-- JESSE ELLSWORTH
1000 HOUGHTON AVE
SAGINAW, MI 48602-5303
Phone number: 989-583-6800
Mailing Address
-- JESSE ELLSWORTH
1000 HOUGHTON AVE
SAGINAW, MI 48602-5303
Phone number:
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