Search › California › 208VP0014X
Wladislaw Ellis, M.D
NPI 1992702039 · on the registry since 2005 · sole proprietor
Practice
- Address
- 13847 Mallory Ct
Grass Valley, CA 95949 - Phone
- (510) 849-4703
- Fax
- (530) 477-6092
Additional practice sites
- 1220 Oxford St, Berkeley, CA
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-16
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 California