KARISSA ANN ELLIS

FORT WAYNE, IN
NPI1134486186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  02004850A)
Enumeration Date2012-04-16
Last Update Date2016-08-12
Business Address
-- KARISSA ANN ELLIS D.O.
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-2641
Mailing Address
-- KARISSA ANN ELLIS D.O.
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-2641
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