Frederick R Ellwanger III MD

NPI 1043319098 - Radiology - 2085R0001X

NPI Details
NPI 1043319098
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
749 WILD OAK LN NW
CALABASH NC, 28467-1939, US
Phone (910) 575-7678
Fax (910) 575-7678
Business Location
749 WILD OAK LN NW
CALABASH NC, 28467-1939, US
Phone (910) 575-7678
Fax (910) 575-7678
Toxanomy
Taxonomy Code 2085R0001X
License State North Carolina
License Number 18944
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According to our database, Dr. Frederick R Ellwanger III MD NPI is 1043319098, taxonomy code is 2085R0001X and license number is 18944, license state is located at North Carolina. Frederick R Ellwanger III MD physically located at 749 Wild Oak Ln Nw, Calabash NC, 28467-1939. NPI Number Frederick R Ellwanger III MD has the Individual type.

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1043319098 NPI number is provided on an as is basis without warranty of any kind. 1043319098 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick R Ellwanger III MD are for informational purposes only.