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Dr. Douglas Martin Ellinger, MD
Diagnostic Radiology Physician in Grand Rapids, Michigan
NPI 1295793511

Douglas Martin Ellinger is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Douglas Martin Ellinger practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Douglas Martin Ellinger is 1295793511 and holds a License No. 4301048999 (Michigan).

The current practice location address for Douglas Martin Ellinger is 3264 N Evergreen Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7339 and via fax at 616-361-5828.

Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
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Provider Profile Details
NPI Number
1295793511
Provider Name
Douglas Martin Ellinger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300E410190 01 MI BCBS GROUP PIN
4560935 05 MI
DB9242 01 MI MEDICARE RR GROUP PIN
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301048999 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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