Michael Scott Ellender, O.D. Valid NPI

Individual provider · Optometrist · Rapid City, SD

NPI

1245301787

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

T573 (SD)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-13

Last updated

2007-10-04