JODY ELLIS

MUNSTER, IN
NPI1457315590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  1000818A)
Enumeration Date2006-04-14
Last Update Date2008-03-18
Business Address
-- JODY ELLIS PA-C
901 MACARTHUR BLVD RADIOLOGY DEPARTMENT
MUNSTER, IN 46321-2901
Phone number: 219-836-4569
Mailing Address
-- JODY ELLIS PA-C
9201 CALUMET AVE
MUNSTER, IN 46321-2807
Phone number: 219-836-2022
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