MICHAEL R ELLEN MD PS

OLYMPIA, WA
NPI1174637599
Entity TypeOrganization
Authorized ContactMICHAEL R ELLEN
Owner
360-754-3380
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: WA  md00026526)
Enumeration Date2006-08-19
Last Update Date2020-08-22
Business Address
MICHAEL R ELLEN MD PS
128 LILLY RD NE SUITE 205
OLYMPIA, WA 98506-5029
Phone number: 360-754-3380
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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