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1134742323
ELLIE VIRGIN
GRAND BLANC, MI
NPI
1134742323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5151014264)
Enumeration Date
2020-05-21
Last Update Date
2021-01-07
Business Address
Dr. ELLIE VIRGIN DO
1 GENESYS PKWY ASCENSION GENESYS HOSPITAL, GME
GRAND BLANC, MI 48439
Phone number: 952-221-4969
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Mailing Address
Dr. ELLIE VIRGIN DO
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number:
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