GARY ELLWEIN, MD

Pathology - Anatomic Pathology & Clinical Pathology

Active Individual
NPI: 1063480804

Practice Address

3100 CHANNING WAY
Idaho Falls, ID 83404

Phone: (208) 529-6050

Specialties

Specialty Code Primary License
Pathology - Anatomic Pathology & Clinical Pathology 207ZP0102X Yes M3265 (ID)

Frequently Asked Questions

NPI 1063480804 is the National Provider Identifier for GARY ELLWEIN, MD, a Pathology - Anatomic Pathology & Clinical Pathology provider located in Idaho Falls, ID. This NPI was enumerated on March 9, 2006.
GARY ELLWEIN, MD practices at 3100 CHANNING WAY, Idaho Falls, ID 83404.

Quick Facts

NPI
1063480804
Type
Individual
Enumerated
Mar 9, 2006
Last Updated
Dec 27, 2012

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