Individual
MR. ANDREW JOSEPH ELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12630
MN
363AM0700X
Medical Physician Assistant
2017004716
MO
Other
Enumeration date
02/20/2017
Last updated
10/09/2020
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