Individual
MR. DAVID MICHAEL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
510 22ND AVE E, SUITE# 801 ADVANCE ORTHOTICS & PROSTHETICS,, ALEXANDRIA, MN 56308-4653
(320) 762-2210
(320) 762-2753
Mailing address
510 22ND AVE E, SUITE# 801 ADVANCE ORTHOTICS & PROSTHETICS,, ALEXANDRIA, MN 56308-4653
(320) 762-2210
(320) 762-2753
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
10/30/2007
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