Gellis, Michael Barry
Gellis, Michael Barry is an sole proprietor health care provider with primary practice located at 36800 Woodward Ave Suite 109, Bloomfield Hills MI 48304-0915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gellis, Michael Barry can be contacted via phone (248) 642-4846.Contact Information
Primary practice address
36800 Woodward Ave Suite 109
Bloomfield Hills MI 48304-0915
Phone: (248) 642-4846
Fax: (248) 642-5313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 4301030689 | Michigan |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 2735A | Wyoming |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD430264 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 30028 | North Carolina |
Profile Details
| NPI number | 1508997032 |
|---|---|
| LBN Legal business name | Gellis, Michael Barry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Mar 8th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508997032 | NPPES |
| Michigan | MEDICAID | 101090399 |
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