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1174637599
MICHAEL R ELLEN MD PS
OLYMPIA, WA
NPI
1174637599
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Entity Type
Organization
Authorized Contact
MICHAEL R ELLEN
Owner
360-754-3380
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA md00026526)
Enumeration Date
2006-08-19
Last Update Date
2020-08-22
Business Address
MICHAEL R ELLEN MD PS
128 LILLY RD NE SUITE 205
OLYMPIA, WA 98506-5029
Phone number: 360-754-3380
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Mailing Address
MICHAEL R ELLEN MD PS
128 LILLY RD NE SUITE 205
OLYMPIA, WA 98506-5029
Phone number: 360-754-3380
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