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Individual
DR. JOHN C. ELY
Active
Individual
DR. JOHN C. ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36080
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
31560
NE
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
36080
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113303
—
IL
Enumeration date
05/16/2006
Last updated
12/29/2025
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