Individual
JAMES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(952) 888-5800
(952) 567-6176
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
81705
MN
390200000X
Student in an Organized Health Care Education/Training Program
4351048983
MI
Other
Enumeration date
05/11/2022
Last updated
04/17/2026
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