Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID YEHUDA ELLENBERG, M.D.
Active Sole ProprietorDR. DAVID YEHUDA ELLENBERG, M.D. is a Sports Medicine (Emergency) healthcare provider located in LIVONIA, Michigan. NPI 1063749604 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · LIVONIA, MI
Registration Details
- NPI Number
- 1063749604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2009 (16.818671326079 yrs)
- Last Updated
- Sep 25, 2024
- Licenses
-
4301094251 (MI)4301094251 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33400 6 MILE RDLIVONIA, MI, 481523143Browse MI providers · Browse ZIP 48152
- Phone
- 7344212020
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.