David Ellenbogen
ActiveMichigan license 4301512404
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301512404
- Status
- Active
- First issued
- June 3, 2024
- Expires
- June 3, 2027
- License holder
- David Ellenbogen
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
Ascension Providence Hospital
16001 W. Nine Mile Road Fisher Building Rm. #407
Southfield, MI 48075
16001 W. Nine Mile Road Fisher Building Rm. #407
Southfield, MI 48075
Oakland County