ERIC ELLEBY
Family Medicine
Active
Individual
NPI: 1942629787
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 62672 (MN) |
Frequently Asked Questions
NPI 1942629787 is the National Provider Identifier for ERIC ELLEBY, a Family Medicine provider located in Cook, MN. This NPI was enumerated on April 9, 2014.
ERIC ELLEBY practices at 20 5TH ST SE, Cook, MN 55723.
Quick Facts
- NPI
- 1942629787
- Type
- Individual
- Enumerated
- Apr 9, 2014
- Last Updated
- Jun 30, 2021
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