NPI 1720274129

David Michael Ellis, CPO

Practitioner Prosthetist Alexandria, MN

Practice location

Address: 510 22nd Ave E Suite# 801 Advance Orthotics & Prosthetics,, Alexandria, MN 56308-4653
Phone: (320) 762-2210
Fax: (320) 762-2753

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

Other Prosthetist providers in Minnesota →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Other Orthotist providers in Minnesota →

Registry record

NPI: 1720274129
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2007
Record last updated: 30 Oct 2007

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.