Mark L. Ellis is a Specialist in Eden Prairie, Minnesota. Mark L. Ellis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark L. Ellis is 1598791535. The last update date is 2023-10-02.
Mark L. Ellis's current location address is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Mark L. Ellis is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark L. Ellis |
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Address | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
Phone Number | 9525951301 |
Fax Number | 6122944903 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1598791535 |
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Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2023-10-02 |
Provider Mailing Address Detail
Address | 11995 Singletree Ln Ste 500 |
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City | Eden Prairie |
State | Minnesota (MN) |
Post Code | 553445349 |
Phone Number | 9525951301 |
Fax Number | 6122944903 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 13170 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
112542 | MS | -- | |
300124842 | MS | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark L. Ellis by the Centers for Medicare & Medicaid Services?
The Mark L. Ellis has been issued the NPI (National Provider Identifier) 1598791535, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark L. Ellis?
The Mark L. Ellis is physically situated at 11995 Singletree Ln Ste 500, in the city of Eden Prairie, state of MN, with the postal code 553445349.
What is Mark L. Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark L. Ellis is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Mark L. Ellis receive the assignment of its 1598791535 from the Centers for Medicare & Medicaid Services?
The Mark L. Ellis was issued its 1598791535 by the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date were the details pertaining to Mark L. Ellis last refreshed?
The information related to the Mark L. Ellis, including its address, specialty, and other relevant details, was last updated on 2023-10-02.