person
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.

Location: 5000 Town Ctr, Southfield, MI, 48075-1110
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
State
Zip
48075-1110
Phone Number
248-943-4107
Fax Number
person
Provider Business Mailing Address Details
Address
5000 Town Ctr
City
State
Zip
48075-1110
Phone Number
248-943-4107
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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