Whalio Doctors

NPI 1477598985

Ellen B. Rest, MD

Practitioner Specialist Fridley, MN

Practice location

Address
7205 University Ave NE, Fridley, MN 55432-3134
Phone
(763) 571-4000
Fax
(763) 571-7202

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 34663 (MN)

Registry record

NPI
1477598985
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Jun 2006
Record last updated
4 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.