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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | B4444X (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).
Another provider at this address
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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.