Burton Ellis - West Bloomfield, MI

Burton Ellis

Diagnostic Radiology Physician in West Bloomfield, Michigan

NPI 1689633067

Burton Ellis is a Diagnostic Radiology Physician based in West Bloomfield, MI and is specialized in Diagnostic Radiology. Burton Ellis practices in West Bloomfield, MI. The NPI Number for Burton Ellis is 1689633067 and holds a License No. 4301030106 (Michigan).

The current practice location address for Burton Ellis is 6825 Heirloom Cir, West Bloomfield, MI and can be reached out via phone at 248-497-1234.

Location: 6825 Heirloom Cir, West Bloomfield, MI, 48322-4805

NPI Number

1689633067

Provider Name

Burton Ellis

Credential

Provider Entity Type

Individual

Gender

Male

Address

6825 Heirloom Cir, West Bloomfield, MI, 48322-4805

Phone Number

248-497-1234

Fax Number

Provider Enumeration Date

03/22/2006

Last Update Date

08/17/2024

Identifier	Type	State	Issuer
300F362420	01	MI	BCBSM
2849514	05	MI

Address

6825 Heirloom Cir

City

West Bloomfield

State

Michigan

Zip

48322-4805

Phone Number

248-497-1234

Fax Number

Address

6825 Heirloom Cir

City

West Bloomfield

State

Michigan

Zip

48322-4805

Phone Number

248-497-1234

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Diagnostic Radiology

Taxonomy

2085R0202X

License No.

4301030106 (Michigan)

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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