BLAKE MICHAEL ELLIS

YOUNGSTOWN, OH
NPI1104685346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: OH  58.034231)
Enumeration Date2024-03-18
Last Update Date2024-06-25
Business Address
BLAKE MICHAEL ELLIS DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number: 330-480-7142
Mailing Address
BLAKE MICHAEL ELLIS DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number: