Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL PAUL ELLIS, MD
ActiveDR. MICHAEL PAUL ELLIS, MD is a Family Medicine healthcare provider located in BLACK HAWK, Colorado. NPI 1780650093 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLACK HAWK, CO
Registration Details
- NPI Number
- 1780650093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2006 (20.452273610178 yrs)
- Last Updated
- Dec 12, 2012
- License
-
50801 (CO)
Practice Information
- Address
-
562 GREGORY STBLACK HAWK, CO, 80422Browse CO providers · Browse ZIP 80422
- Phone
- 3035825276
- Fax
- 3035821003
- Primary Specialty
-
Family Medicine
207Q00000X
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.