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Dr. Richard Ira Ellenbogen, DO
Obstetrics & Gynecology Physician in Waterford, Michigan
NPI 1093804619

Richard Ira Ellenbogen is a Obstetrics & Gynecology Physician based in Waterford, MI. Richard Ira Ellenbogen practices in Waterford, MI and has the professional credentials of DO. The NPI Number for Richard Ira Ellenbogen is 1093804619 and holds a License No. 5101006200 (Michigan).

The current practice location address for Richard Ira Ellenbogen is 4000 Highland Road, Waterford, MI and can be reached out via phone at 248-682-2109 and via fax at 248-682-4769.

Location: 4000 Highland Road, Waterford, MI, 48328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093804619
Provider Name
Richard Ira Ellenbogen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4000 Highland Road, Waterford, MI, 48328
Phone Number
248-682-2109
Fax Number
248-682-4769
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4000 Highland Road
City
Waterford
State
Michigan
Zip
48328
Phone Number
248-682-2109
Fax Number
248-682-4769
person
Provider Business Mailing Address Details
Address
4000 Highland Road
City
Waterford
State
Michigan
Zip
48328
Phone Number
248-682-2109
Fax Number
248-682-4769
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5101006200 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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