Individual
ELLEN MARIE FARR
Active
Individual
ELLEN MARIE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35.1458421
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
84417
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002318
—
OH
05
—
1548701998
—
WI
Enumeration date
03/18/2017
Last updated
10/01/2024
Update your record
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