Gary Earl Ellwein, MD
NPI #1063480804 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1063480804
- Entity Type
- Individual
- Name
- Gary Earl Ellwein, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Credential
- MD
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Dec 27, 2012
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-6050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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