Organization
AMY R ELLINGSON MD PA
Active
Other names
Allergy & Asthma Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY R ELLINGSON MD (PRESIDENT)
(320) 214-1100
Entity
Organization
Contact information
Practice address
1037 19TH AVE SW, WILLMAR, MN 56201-5005
(320) 214-1100
(320) 214-1155
Mailing address
PO BOX 1015, WILLMAR, MN 56201-1015
(320) 214-1100
(320) 214-1155
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
1538
MN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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