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1205955937
STEVEN S. ELLINGER, OD, PLC
PORTAGE, MI
NPI
1205955937
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Entity Type
Organization
Authorized Contact
STEVEN S. ELLINGER
Sole Member
269-329-1030
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MI B4444X)
Enumeration Date
2007-03-27
Last Update Date
2016-09-14
Business Address
STEVEN S. ELLINGER, OD, PLC
1612 E. CENTRE AVE.
PORTAGE, MI 49002-4410
Phone number: 269-329-1030
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Mailing Address
STEVEN S. ELLINGER, OD, PLC
1612 E CENTRE AVE
PORTAGE, MI 49002-4410
Phone number: 269-329-1030
Copy
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