BRANDON D ELLSWORTH

GRAND RAPIDS, MI
NPI1689848459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI  4301102483)
Enumeration Date2008-04-14
Last Update Date2021-07-14
Business Address
BRANDON D ELLSWORTH MD
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-364-6700
Mailing Address
BRANDON D ELLSWORTH MD
PO BOX 1629
LIMA, OH 45802-1629
Phone number: 877-378-4293
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