Individual provider · Type 1 NPI

Angelique Nikkol-Telycenas Ellison, DO

Obstetrics & Gynecology Physician · Trenton, MI

NPI number 1154769214 Active

Practice location

5400 Fort St Ste 250
Trenton, MI 48183-4630

Fax (734) 642-2475

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X5101020652 (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 1154769214

Angelique Nikkol-Telycenas Ellison, DO's National Provider Identifier is 1154769214, issued on Jun 11, 2013. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Trenton, MI. The record was last updated on Oct 22, 2020.