Individual
ELLEN E BELLAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 779-7978
(651) 779-7656
Mailing address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 779-7978
(651) 779-7656
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
39298
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084K3BE
BCBS MN
MN
01
—
1027080
PREFERRED ONE
MN
01
—
1241604
AMERICA'S PPO
MN
01
—
151583
UCARE MN
MN
01
—
2400114
MEDICA
MN
05
—
34065500
—
WI
05
—
412702100
—
MN
01
—
HP34893
HEALTHPARTNERS
MN
Enumeration date
03/07/2006
Last updated
10/28/2011
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