Individual
ELLYN C HEXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 W VERNON AVE, FERGUS FALLS, MN 56537-2741
(218) 739-2221
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13195
MN
Other
Enumeration date
12/20/2019
Last updated
07/09/2020
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