MICHAEL R ELLEN MD PS NPI 1174637599

NPI Information

MICHAEL R ELLEN MD PS is an urology in Olympia, WA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MICHAEL R ELLEN MD PS NPI is 1174637599. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

128 LILLY RD NE
SUITE 205
OLYMPIA, WA
ZIP 98506-029
Phone: (360) 754-3380

The provider's authorized official is Michael R Ellen .
The authorized official title is Owner and has the following contact phone number (360) 754-3380.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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