Individual
AMY RILLO ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1037 19TH AVE SW, WILLMAR, MN 56201-5005
(320) 214-1100
(320) 214-1155
Mailing address
1605 COUNTRY CLUB DR NE, WILLMAR, MN 56201-2176
(320) 231-9833
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
34585
MN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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