Individual
RICHARD L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33381
WI
2085R0202X
Diagnostic Radiology Physician
34354
IA
2085R0202X
Diagnostic Radiology Physician
44431
MN
Other
Enumeration date
06/16/2005
Last updated
11/01/2024
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