JOHN ELLIS

Dr JOHN ELLIS is a male medical professional, specializing in Podiatry. He graduated in 1986 from Ohio College Of Podiatric Medicine.

Contact

21992 LORAIN RD
FAIRVIEW PARK
OH
441263333

Tel:

JOHN ELLIS Information

Npi 1043384795
Pac Id 9931299716
Professional Enrollment Id I20071217000600
Last Name ELLIS
First Name JOHN
Middle Name
Suffix
Gender M
Credential
Medical School Name OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1986
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 21992 LORAIN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRVIEW PARK
State OH
Zip Code 441263333
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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