Individual provider · Type 1 NPI

Richard Ira Ellenbogen, DO

Obstetrics & Gynecology Physician · Waterford, MI

NPI number 1093804619 Active

Practice location

4000 Highland Road, #120
Waterford, MI 48328

Fax (248) 682-4769

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X5101006200 (MI)

Obstetrics & Gynecology Physician: 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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About NPI 1093804619

Richard Ira Ellenbogen, DO's National Provider Identifier is 1093804619, issued on Oct 12, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Waterford, MI. The record was last updated on Jul 8, 2007.