Jordan Ellis
Jordan Ellis is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2021.
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
1500 E Medical Center Drive Uh B1D530 Spc 5030Ann Arbor, MI 48109-5030
Phone: (734) 615-4924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 4351047774 (MI) |
|---|
Record details
| NPI number | 1720654544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 2, 2021 |
| Last updated in NPPES | June 2, 2021 |
| Certification date | June 2, 2021 |
| Mailing address | 1500 E Medical Center Drive, Uh B1d530, Spc 5030, Ann Arbor, MI 48109-5030 |
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