Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandra L. Ellis, MD, PLLC

Organization Internal Medicine Physician · NPI 1407054752

Sandra L. Ellis, MD, PLLC is an Internal Medicine Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19034 W 10 Mile Rd
Southfield, MI 48075-2401
Phone: (248) 353-2600
Fax: (248) 353-1367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence SE070800 (MI)

Record details

NPI number1407054752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Ellis — President · (248) 353-2600
NPI enumeratedJuly 9, 2007
Last updated in NPPESApril 20, 2008
Mailing address6632 Telegraph Rd, Ste 318, Bloomfield Hills, MI 48301-3012

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