Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS WILKS ELLIS III, P.A. C
ActiveTHOMAS WILKS ELLIS III, P.A. C is a Physician Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1881632891 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1881632891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (20.160629324817 yrs)
- Last Updated
- Sep 24, 2012
- License
-
9063 (MN)
Practice Information
- Address
-
12000 ELM CREEK BLVD NSUITE 360MAPLE GROVE, MN, 553697073Browse MN providers · Browse ZIP 55369
- Phone
- 7633154300
- Fax
- 7633154360
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| JOLENE NELSON | — | 1578540613 |
| MS. GAY WYNNE LENTFER | PA | 1104891100 |
| LAURA OLIVIA KRAMER | PA-C | 1679501373 |
| JODY ANN MIKKELSON | PA-C | 1669400156 |
| CATHERINE PANDISCIO | PA-C | 1871522599 |
| COURTNEY V FREEMAN | PA-C | 1245259043 |
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.