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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508997032 NPPES
Michigan MEDICAID 101090399

Popular Providers