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1942839071
ELIE C ELLENBERG
SAINT LOUIS, MO
NPI
1942839071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-01
Last Update Date
2021-03-24
Business Address
ELIE C ELLENBERG MD
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-257-8000
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Mailing Address
ELIE C ELLENBERG MD
934 W HURON ST
ANN ARBOR, MI 48103-4216
Phone number: 248-514-1344
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