Maury Ruben Ellenberg, MD
Physical Medicine & Rehabilitation in Novi, MI. Individual provider (NPI-1).
NPI number1245228790
StatusActive
Last updated in NPPESDec 29, 2015
Details
- NPI
- 1245228790
- Entity type
- Individual (NPI-1)
- Name
- Mr. Maury Ruben Ellenberg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2005
- Last updated
- Dec 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301034191 | MI | Yes |
| 208VP0000X | 4301034191 | MI | ||
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 4301034191 | MI |
Practice location
28455 Haggerty RdSuite 200
Novi, MI 48377-2982
Phone 248-893-3200 · Fax 248-893-2950
Mailing address
6676 Solutions CtrChicago, IL 60677-6006
Phone 248-893-3220 · Fax 248-893-2950
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