Organization · Type 2 NPI

Steven S. Ellinger, Od, PLC

Clinic/Center · Portage, MI

NPI number 1205955937 Active

Practice location

1612 E. Centre Ave.
Portage, MI 49002-4410

Fax (269) 329-0966

Mailing address

1612 E Centre Ave
Portage, MI 49002-4410

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XB4444X (MI)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1205955937

Steven S. Ellinger, Od, PLC's National Provider Identifier is 1205955937, issued on Mar 27, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portage, MI. The record was last updated on Sep 14, 2016.