Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WLADISLAW V ELLIS, M.D.
Active Sole ProprietorDR. WLADISLAW V ELLIS, M.D. is a Interventional Vascular Surgery healthcare provider located in GRASS VALLEY, California. NPI 1992702039 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · GRASS VALLEY, CA
Registration Details
- NPI Number
- 1992702039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2005 (21.12009425375 yrs)
- Last Updated
- Nov 16, 2018
- License
-
A24351 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13847 MALLORY CTGRASS VALLEY, CA, 95949Browse CA providers · Browse ZIP 95949
- Phone
- 5108494703
- Fax
- 5304776092
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Other Interventional Vascular Surgery Providers in GRASS VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| GARY M GLAZE | D.O. | 1932150257 |
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.