Healthcare Provider Details

I. General information

NPI: 1104856897
Provider Name (Legal Business Name): ANN R GILLETT-ELRINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN R ELRINGTON MD

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HAMLIN BLVD
INKSTER MI
48141-2206
US

IV. Provider business mailing address

3516 IRENE ST
INKSTER MI
48141-2127
US

V. Phone/Fax

Practice location:
  • Phone: 313-561-5100
  • Fax: 313-565-0309
Mailing address:
  • Phone: 313-421-6794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number4301072747
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301072747
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: