Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEONARD EUGENE ELLISON JR., MD
Active Sole ProprietorDR. LEONARD EUGENE ELLISON JR., MD is a Internal Medicine healthcare provider located in SOUTHFIELD, Michigan. NPI 1679575328 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1679575328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (21.021267760206 yrs)
- Last Updated
- Aug 27, 2013
- License
-
4301068024 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17330 NORTHLAND PARK CTSOUTHFIELD, MI, 480754318Browse MI providers · Browse ZIP 48075
- Phone
- 2485529500
- Fax
- 2485528144
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THEODORE A WIZENBERG | M.D. | 1932102423 |
| NAGASHREE CHANDRASHEKAR | MD | 1821092750 |
| DR. HOUSTON JOHNSON JR. | MD | 1245238872 |
| JOHN GLEN FROWNFELTER | MD | 1548268626 |
| DR. VALERIE ABBOTT | MD | 1740289487 |
| DAVID JACOBS | MD | 1437158185 |
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.