Individual provider · Type 1 NPI
Burton Ellis
Diagnostic Radiology Physician · West Bloomfield, MI
NPI number
1689633067
Active
Practice location
6825 Heirloom Cir
West Bloomfield, MI 48322-4805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 4301030106 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1689633067
Burton Ellis's National Provider Identifier is 1689633067, issued on Mar 22, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 17, 2024.