Individual
DR. WILFRED J.G. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 S MAIN ST STE A, CELINA, OH 45822-2467
(419) 586-9657
Mailing address
830 W MAIN ST, COLDWATER, OH 45828-1626
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35060082
OH
Other
Enumeration date
06/05/2006
Last updated
06/26/2023
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