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Tim Ellison

NPI 1518252790 · on the registry since 2011 · sole proprietor

Practice

Address
4404 Hwy 29 S
T0821
Alexandria, MN 56308
Phone
(320) 763-7393
Fax
(320) 763-7393

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-15

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 Minnesota