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1508292889
JUSTIN M ELLISON
ANN ARBOR, MI
NPI
1508292889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006807)
Enumeration Date
2013-09-18
Last Update Date
2020-11-25
Business Address
JUSTIN M ELLISON PA-C
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
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Mailing Address
JUSTIN M ELLISON PA-C
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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