Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK L. ELLIS, MD
ActiveMARK L. ELLIS, MD is a Specialist healthcare provider located in EDINA, Minnesota. NPI 1598791535 is currently active in the NPPES registry. Verify at CMS.
Specialist · EDINA, MN
Registration Details
- NPI Number
- 1598791535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2006 (20.167794102678 yrs)
- Last Updated
- Dec 5, 2025
- Licenses
-
13170 (MS)13170 (MS)
Practice Information
- Address
-
3600 MINNESOTA DR STE 800EDINA, MN, 554357915Browse MN providers · Browse ZIP 55435
- Phone
- 9525951301
- Fax
- 6122944903
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Diagnostic Radiology
Other Specialist Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN CHARLES NADEAU | M.D. | 1083618896 |
| JILL HARRIET RUSTERHOLZ | M.D. | 1154325942 |
| KARI BEDNARCZYK | OTR/L | 1619978277 |
| FAYE HOUSE | PT | 1588665749 |
| JONI VANSELOW | PT | 1891796124 |
| SARAH BIERS | OTR/L | 1154313161 |
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.