Individual
DAVID W ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26773
MN
207Q00000X
Family Medicine Physician
Primary
26773
MN
Other
Enumeration date
01/03/2006
Last updated
07/08/2010
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