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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLESE MARIE FORD

Active Sole Proprietor

ELLESE MARIE FORD is a Foot & Ankle Surgery healthcare provider located in CRYSTAL, Minnesota. NPI 1851717193 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · CRYSTAL, MN

Registration Details

NPI Number
1851717193
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2014 (12.45995769801 yrs)
Last Updated
Mar 11, 2014
Sole Proprietor
Yes

Practice Information

Address
6000 BASS LAKE RD
SUITE 105
CRYSTAL, MN, 554292700
Browse MN providers · Browse ZIP 55429
Phone
6129989838
Fax
7634323919
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in CRYSTAL, MN

Name Credential NPI
KARON L JORGES 1710315304
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.