Timothy William Ellison

NPI #1972191674 in Chisholm, Minnesota

Provider Information

NPI Number
1972191674
Entity Type
Individual
Name
Timothy William Ellison
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jan 7, 2021
Last Updated
Jan 7, 2021

Practice Location

Address
306 6TH ST SW
ZIP Code
55719-1932
Phone
(218) 996-3225

Specialties & Taxonomy Codes

Specialty
Contractor

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