Mackenzie David Ellsberry, MD Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Toledo, OH

NPI

1457016438

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

No

Enumerated

2021-11-03

Last updated

2025-04-15