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Steven S. Ellinger, Od, Plc
Clinic/Center in Portage, Michigan
NPI 1205955937

Steven S. Ellinger, Od, Plc is a Clinic/Center based in Portage, MI. Steven S. Ellinger, Od, Plc practices in Portage, MI. The NPI Number for Steven S. Ellinger, Od, Plc is 1205955937 and holds a License No. B4444X (Michigan).

The current practice location address for Steven S. Ellinger, Od, Plc is 1612 E. Centre Ave., Portage, MI and can be reached out via phone at 269-329-1030 and via fax at 269-329-0966.

Location: 1612 E. Centre Ave., Portage, MI, 49002-4410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205955937
Provider Name
Steven S. Ellinger, Od, Plc
Credential
Provider Entity Type
Organization
Address
1612 E. Centre Ave., Portage, MI, 49002-4410
Phone Number
269-329-1030
Fax Number
269-329-0966
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1612 E. Centre Ave.
City
Portage
State
Michigan
Zip
49002-4410
Phone Number
269-329-1030
Fax Number
269-329-0966
person
Provider Business Mailing Address Details
Address
1612 E. Centre Ave.
City
Portage
State
Michigan
Zip
49002-4410
Phone Number
269-329-1030
Fax Number
269-329-0966
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
B4444X (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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