Dr ROBERT M ELLIS is a male medical professional, specializing in Family Medicine. He graduated in 1965 from Tufts University School Of Medicine.
THE BETHANY CIRCLE OF KINGS DAUGHTERS OF MADISON INDIANA INC
1190 W MAIN ST
KINGS DAUGHTERS HEALTH
VEVAY
IN
470433639
Tel: 8124272693
| Npi | 1316976855 |
| Pac Id | 2062536931 |
| Professional Enrollment Id | I20100830000181 |
| Last Name | ELLIS |
| First Name | ROBERT |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | THE BETHANY CIRCLE OF KINGS DAUGHTERS OF MADISON INDIANA INC |
| Group Practice Pac Id | 9739089319 |
| Number Of Group Practice Members | 70 |
| Line 1 Street Address | 1190 W MAIN ST |
| Line 2 Street Address | KINGS DAUGHTERS HEALTH |
| Marker Of Address Line 2 Suppression | |
| City | VEVAY |
| State | IN |
| Zip Code | 470433639 |
| Phone Number | 8124272693 |
| Hospital Affiliation Ccn 1 | 150069 |
| Hospital Affiliation Lbn 1 | KING'S DAUGHTERS' HEALTH |
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| Professional Accepts Medicare Assignment | Y |
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