Noelle Ellis, MD Valid NPI
Individual provider · Pediatrics Physician · Rogers, MN
- NPI
- 1376805770
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 113046 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-06-12
- Last updated
- 2022-07-21
Practice location
13980 Northdale Blvd
Rogers, MN 55374-2147
(763) 428-1920