Individual
GREG ELLENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
144 4TH ST, WALCOTT, ND 58077-4038
(701) 970-8164
Mailing address
144 4TH ST, WALCOTT, ND 58077-4038
(701) 970-8164
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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