Individual
TERRY ALLAN ELLIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 WEST 6TH STREET, ST MARYS REGIONAL MEDICAL CENTER, RENO, NV 89503-4548
(775) 770-3000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10161
NV
207L00000X
Anesthesiology Physician
Primary
4301103253
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016934
—
NV
Enumeration date
11/30/2006
Last updated
06/03/2026
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