AMY R ELLINGSON MD PA
Osteopathic Medicine at 19 Ave, Willmar, MN

License number
Minnesota 1538
Category
Osteopathic Medicine
Type
Allergy
Owner
Name: DR. AMY R ELLINGSON MD
Title: PRESIDENT
Phone: (320) 214-1100
Address
Address
1037 19Th Ave SW, Willmar, MN 56201
National Provider ID: 1295907152
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AMY R. ELLINGSON, M.D., PA

1037 19 Ave SW, Willmar, MN

Registration:
Dec 21, 2000
State ID:
11L-396
Business type:
Business Corporation (Domestic)
Amy R Ellingson

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