Michael J Ellenberg, MD

Physical Medicine & Rehabilitation in Novi, MI. Individual provider (NPI-1).

NPI number1164556692

StatusActive

Last updated in NPPESMar 14, 2025

Details

NPI: 1164556692
Entity type: Individual (NPI-1)
Name: Michael J Ellenberg
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 15, 2007
Certification date: Mar 14, 2025
Last updated: Mar 14, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	4301086085	MI	Yes
204R00000X	Electrodiagnostic Medicine	4301086085	MI
2081S0010X	Physical Medicine & Rehabilitation, Sports Medicine	4301086085	MI
208VP0014X	Pain Medicine, Interventional Pain Medicine	4301086085	MI

Practice location

28455 Haggerty Rd
200
Novi, MI 48377-2982

Phone 248-893-3200

Mailing address

28455 Haggerty Rd Ste 200
Novi, MI 48377-2982

Phone 248-893-3200 · Fax 248-893-2950

Other practice locations

3477 E Grand River Ave
Howell, MI 48843-8552

Phone 248-893-3200 · Fax 248-893-2950

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