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

Dr. Charles Norman Ellis, MD

Individual provider Dermatology Physician · NPI 1053406793

Dr. Charles Norman Ellis, MD is a Dermatology Physician in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Dr 1st Fl Taubman Ctr Recp B
Ann Arbor, MI 48109-5314
Phone: (734) 936-4054
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301039740 (MI)

Record details

NPI number1053406793
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESMarch 1, 2012

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