Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE THOMAS ELLIS, M.D.
ActiveDR. SHANE THOMAS ELLIS, M.D. is a Internal Medicine healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1366701153 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1366701153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2012 (14.260972852819 yrs)
- Last Updated
- Mar 11, 2021
- Licenses
-
57547 (MN)57547 (MN)
Practice Information
- Address
-
2925 CHICAGO AVEMINNEAPOLIS, MN, 55407Browse MN providers · Browse ZIP 55407
- Phone
- 6128634000
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Student (Health Education/Training)
Other Internal Medicine Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| BRUCE MEYER | MD | 1154326635 |
| MR. ALAN DIVINE | M.D. | 1104825280 |
| VEETI TANDON | MD | 1952302085 |
| DR. ERIK JOHN STORLIE | M.D. | 1770565194 |
| DALE R PETERSEN | — | 1841274255 |
| DR. GERALD ERNEST SWANSON | M.D. | 1609850510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.