DIANE ELIZABETH ELLIS

FARGO, ND
NPI1447448865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ND  PT21592)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: UT  365485-1205)
Enumeration Date2007-10-10
Last Update Date2024-09-25
Business Address
Dr. DIANE ELIZABETH ELLIS M.D.
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2000
Mailing Address
Dr. DIANE ELIZABETH ELLIS M.D.
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-9419