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
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | 5101006200 (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.
Other obstetrics & gynecology physician providers in Waterford
- Harvey Lee Raimi, DOObstetrics & Gynecology Physician Waterford, MI NPI 1346548302
- Leonard Gordon Dorey, MDObstetrics & Gynecology Physician Waterford, MI NPI 1396707048
- Reda A. Khalifa, MDObstetrics & Gynecology Physician Waterford, MI NPI 1396787586
- Stacy Ann Jenkins, MDObstetrics & Gynecology Physician Waterford, MI NPI 1912014416
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.