DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON D ELLSWORTH, MD

Active

BRANDON D ELLSWORTH, MD is a Anatomic Pathology & Clinical Pathology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1689848459 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · GRAND RAPIDS, MI

Registration Details

NPI Number
1689848459
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2008 (18.303972495784 yrs)
Last Updated
Jul 14, 2021
License
4301102483 (MI)

Practice Information

Address
200 JEFFERSON AVE SE
GRAND RAPIDS, MI, 495034502
Browse MI providers · Browse ZIP 49503
Phone
6163646700
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in GRAND RAPIDS, MI

Name Credential NPI
KAY L AARDEMA MD 1407840051
DAVID M GRAHAM MD 1285620435
WILLIAM CHOPP MD 1619024585
DR. JENNIFER STUMPH MD 1023165990
DR. JANE CATHERINE MORRISON M.D. 1912171638
DR. MIHAELA CHISELITE M.D. 1538390489
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.