MANUEL ELLIS TANCER

DETROIT, MI
NPI1578500062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  4301064220)
Enumeration Date2006-06-01
Last Update Date2016-09-23
Business Address
-- MANUEL ELLIS TANCER MD
3901 CHRYSLER SERVICE DR.
DETROIT, MI 48201-2167
Phone number: 313-993-3434
Mailing Address
-- MANUEL ELLIS TANCER MD
1560 E MAPLE RD SUITE 400-CREDENTIALING
TROY, MI 48083-1138
Phone number: 313-993-3434
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