Robert Arthur Ellwood, M.D.
Individual provider Active NPI General Practice Physician · Beverly Hills, MI
NPI 1619218971 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1619218971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 4301034008 (MI)
- Practice address
- 20046 Ronsdale Dr
Beverly Hills, MI 48025-3856 - Phone
- (248) 644-8281
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301034008 | MI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301034008 | MI | Yes |
Addresses
Primary practice location
20046 Ronsdale Dr
Beverly Hills, MI 48025-3856
Mailing address
20046 Ronsdale Dr
Beverly Hills, MI 48025-3856
Phone (248) 644-6261
Other providers in Beverly Hills, MI
- Diane Louise Dolinshek
- George Doskoris
- Michelle Renee Egan
- Elaine J. Horigian, Ma, PC
- Elaine M Swenson Ma LLP PLLC
- Endocrinology Center PC
- Everyday Living Nutrition
- Family First Chiropractic Care
- Jennifer Lauren Fantich
- Jon Fibeger
All providers in Beverly Hills, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.