Matthew S Ellison, D.O. is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Matthew S Ellison, D.O. NPI is 1578185211. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5635 W FORT ST
DETROIT, MI
ZIP 48209-154
Phone: (313) 849-3920
The enumeration date for this NPI number is 5/16/2020 and was last updated on 5/16/2020.