DEREK ELLINGSON

FORT WAYNE, IN
NPI1487848644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN  02006527A)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IA  DO05260)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AK  MEDO7423)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO  2007018750)
Enumeration Date2007-08-30
Last Update Date2021-08-25
Business Address
Dr. DEREK ELLINGSON D.O.
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7001
Mailing Address
Dr. DEREK ELLINGSON D.O.
1010 AIRPARK CENTER DR
NASHVILLE, TN 37217-5200
Phone number: 615-221-4400