ELISHEVA ELLENBERG

WARREN, MI
NPI1831711936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704311157)
Enumeration Date2020-05-12
Last Update Date2020-05-12
Business Address
ELISHEVA ELLENBERG
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 773-517-7931
Mailing Address
ELISHEVA ELLENBERG
16986 HILTON ST
SOUTHFIELD, MI 48075-1915
Phone number: 773-517-7931