Gryniewicz, Ellen H.

Gryniewicz, Ellen H. is an individual health care provider with primary practice located at 3145 W Clark Rd Suite 401, Ypsilanti MI 48197-1120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gryniewicz, Ellen H. can be contacted via phone (734) 528-5700.

Contact Information

Primary practice address
3145 W Clark Rd Suite 401 Ypsilanti MI 48197-1120
Fax: (734) 528-5701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301032462 Michigan

Profile Details

NPI number 1073536181
LBN Legal business name Gryniewicz, Ellen H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 11th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073536181 NPPES
Michigan MEDICAID 4681485-10

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