Search › Indiana › 103G00000X
Gary Elliott, PHD
NPI 1518956648 · on the registry since 2005 · sole proprietor
Practice
- Address
- 314 W Catalpa
Suite E
Mishawaka, IN 46545 - Phone
- (574) 254-1700
- Fax
- (574) 254-2930
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-10
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