Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Leonard Eugene Ellison Jr., MD

Individual provider Internal Medicine Physician · NPI 1679575328

Dr. Leonard Eugene Ellison Jr., MD is an Internal Medicine in Southfield, Michigan. Graduated from Wayne State University School of Medicine in 1996, 30 years ago. Practices with Leonard Ellison Jr MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
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

17330 Northland Park Ct
Southfield, MI 48075-4318
Phone: (248) 552-9500
Fax: (248) 552-8144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301068024 (MI)

Record details

NPI number1679575328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 12, 2005
Last updated in NPPESAugust 27, 2013
Mailing address17330 Northland Park Ct, Southfield, MI 48075-4318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Leonard Ellison Jr Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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