MR. David Michael Ellis, CPO
NPI #1720274129 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1720274129
- Entity Type
- Individual
- Name
- MR. David Michael Ellis, CPO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetist
- Credential
- CPO
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Oct 30, 2007
Practice Location
- Address
- 510 22ND AVE E
- Address 2
- SUITE# 801 ADVANCE ORTHOTICS & PROSTHETICS,
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308-4653
- Phone
- (320) 762-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Prosthetist |
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