Andre Ellison
Andre Ellison is a Private Vehicle in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
5000 Town Ctr 2405Southfield, MI 48075-1110
Phone: (248) 943-4107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X |
|---|
Record details
| NPI number | 1043755523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 20, 2016 |
| Last updated in NPPES | December 20, 2016 |
| Mailing address | 5000 Town Ctr, 2405, Southfield, MI 48075-1110 |
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