THOMAS ELLIS III, P.A. C

Physician Assistant

Active Individual
NPI: 1881632891

Practice Address

12000 ELM CREEK BLVD N
SUITE 360
Maple Grove, MN 55369

Phone: (763) 315-4300

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 9063 (MN)

Frequently Asked Questions

NPI 1881632891 is the National Provider Identifier for THOMAS ELLIS III, P.A. C, a Physician Assistant provider located in Maple Grove, MN. This NPI was enumerated on June 2, 2006.
THOMAS ELLIS III, P.A. C practices at 12000 ELM CREEK BLVD N, SUITE 360, Maple Grove, MN 55369.

Quick Facts

NPI
1881632891
Type
Individual
Enumerated
Jun 2, 2006
Last Updated
Sep 24, 2012

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