Search › Indiana › Anatomic Pathology & Clinical Pathology Physician
Derek Ellingson, D.O
NPI 1487848644 · on the registry since 2007
Practice
- Address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 435-7001
- Organisation at this address
- Walgreen Co
Iom Health System Lp
Iom Health System Lp
Iom Health System Lp
Iom Health Systems, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 153
Registry record
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician
207ZP0102X
- Also registered as
- Anatomic Pathology & Clinical Pathology Physician
Anatomic Pathology & Clinical Pathology Physician
Anatomic Pathology & Clinical Pathology Physician - Licence states on file
- IA, AK, MO, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana