Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL C. ENNIS, M.D.
ActiveFamily Medicine · WORCESTER, MA
Registration Details
- NPI Number
- 1861482663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2005 (20.492708156487 yrs)
- Last Updated
- Dec 16, 2020
- License
-
53353 (MA)
Practice Information
- Address
-
279 LINCOLN STHAHNEMANN FAMILY HEALTH CENTERWORCESTER, MA, 016052120Browse MA providers · Browse ZIP 01605
- Phone
- 5083348830
- Fax
- 5083348835
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MARY LINDHOLM | M.D. | 1265428155 |
| PHILIP JOSEPH BOLDUC | MD | 1669460051 |
| MATTHEW S HORSFIELD | MD | 1013998129 |
| DR. JEREMY GOLDING | M.D. | 1407838378 |
| DR. JASEN W GUNDERSEN | M.D. | 1881677789 |
| DR. JAMES B BROADHURST | M.D. | 1457334351 |
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.