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Terrell Ellis
NPI 1790455152 · on the registry since 2021 · sole proprietor
Practice
- Address
- 21408 Inkster Rd
Southfield, MI 48033 - Phone
- (947) 224-0379
- Fax
- (947) 941-2603
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 374U00000X
376J00000X - Sex
- Male
- Record last updated
- 2021-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan