Mr. Maury Ruben Ellenberg
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
28455 Haggerty Rd Suite 200
Novi
, Michigan 48377-2982
Mr. Maury Ruben Ellenberg
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
28455 Haggerty Rd Suite 200
Novi
, Michigan 48377-2982
(248) 893-2950
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Mr. Maury Ruben Ellenberg
- 6676 Solutions Ctr
- Chicago, IL
- Zip : 60677-6006
- Fax : (248) 893-2950
- Phone : (248) 893-3220
Second Address
- Mr. Maury Ruben Ellenberg
- 28455 Haggerty Rd Suite 200
- Novi, MI
- Zip : 48377-2982
- Fax : (248) 893-2950
- Phone : (248) 893-3200
Reviews
FAQs
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Is Mr. Maury Ruben Ellenberg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 4301034191 | MI |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301034191 | MI |
National Provider Identifier
| NPI | 1245228790 |
|---|---|
| Provider Name | Mr. Maury Ruben Ellenberg |
| First Address | Chicago, IL 60677-6006 |
| Second Address | Novi, MI 48377-2982 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 29/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4212207 | (05) | MI |
| B48639 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.