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Andre Ellison
Private Vehicle in Southfield, Michigan
NPI 1043755523

Andre Ellison is a Private Vehicle based in Southfield, MI. Andre Ellison practices in Southfield, MI. The NPI Number for Andre Ellison is 1043755523 and holds a License No. (Michigan).

The current practice location address for Andre Ellison is 5000 Town Ctr, Southfield, MI and can be reached out via phone at 248-943-4107. You can also correspond with Andre Ellison through the mailing address at 5000 TOWN CTR, SOUTHFIELD, MI - 48075-1110 (mailing address contact number: 248-943-4107).

Location: 5000 Town Ctr, Southfield, MI, 48075-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043755523
Provider Name
Andre Ellison
Credential
Provider Entity Type
Individual
Gender
Male
Address
5000 Town Ctr, Southfield, MI, 48075-1110
Phone Number
248-943-4107
Fax Number
Provider Enumeration Date
12/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5000 Town Ctr
City
Southfield
State
Michigan
Zip
48075-1110
Phone Number
248-943-4107
Fax Number
person
Provider Business Mailing Address Details
Address
5000 Town Ctr
City
Southfield
State
Michigan
Zip
48075-1110
Phone Number
248-943-4107
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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