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

ERIC ELLEBY

Active Sole Proprietor

ERIC ELLEBY is a Family Medicine healthcare provider located in COOK, Minnesota. NPI 1942629787 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COOK, MN

Registration Details

NPI Number
1942629787
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2014 (12.347254852614 yrs)
Last Updated
Jun 30, 2021
License
62672 (MN)
Sole Proprietor
Yes

Practice Information

Address
20 5TH ST SE
COOK, MN, 557239702
Browse MN providers · Browse ZIP 55723
Phone
2186665941
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in COOK, MN

Name Credential NPI
HAROLD D JOHNSTON M.D. 1255305942
DR. FRED LAWRENCE WEBBER D.O. 1770508103
LYNNE M DIDRIKSON I MD 1841381852
DR. BRUCE DAVID GARBISCH M.D. 1447349022
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.