ENRIQUE ELLENBOGEN, M.D. INC
Ambulatory Health at Stanfield Rd, Troy, OH

License number
Ohio 35100246
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MRS. DONNA JEAN ZIMMERMAN
Title: OFFICE MANAGER
Phone: (937) 335-7121
Address
Address
700 S Stanfield Rd SUITE B, Troy, OH 45373
National Provider ID: 1184870164
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENRIQUE ELLENBOGEN, M.D., INC

Troy, OH

Status:
Inactive
Registration:
Dec 23, 1981
State ID:
586933
Business type:
Medical
Irvin J Zipperstein

Ambulatory Health licenses in Ohio


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