Wayne M. Ellis MD

NPI 1508848102 - Pediatrics - 208000000X

NPI Details
NPI 1508848102
Gender Male
Enumeration Date 11/18/2005
Last Updated 01/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
550 UNIVERSITY BLVD
UH 3005
INDIANAPOLIS IN, 46202-5149, US
Phone (317) 944-2167
Fax (317) 944-2305
Business Location
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Indiana
License Number 01048446
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According to our database, Dr. Wayne M. Ellis MD NPI is 1508848102, taxonomy code is 208000000X and license number is 01048446, license state is located at Indiana. Wayne M. Ellis MD physically located at 550 University Blvd, Indianapolis IN, 46202-5149. NPI Number Wayne M. Ellis MD has the Individual type.

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1508848102 NPI number is provided on an as is basis without warranty of any kind. 1508848102 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne M. Ellis MD are for informational purposes only.