Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER NICHOLAS ELLIS, DPM
Active Sole ProprietorWALTER NICHOLAS ELLIS, DPM is a Podiatrist healthcare provider located in ST CLOUD, Minnesota. NPI 1588625958 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ST CLOUD, MN
Registration Details
- NPI Number
- 1588625958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.35682165238 yrs)
- Last Updated
- Jan 8, 2015
- License
-
451 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 DOCTORS PARKST CLOUD, MN, 563031207Browse MN providers · Browse ZIP 56303
- Phone
- 3202515444
- Fax
- 3206569590
- Primary Specialty
-
Podiatrist
213E00000X
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.