WALTER NICHOLAS ELLIS

ST CLOUD, MN
NPI1588625958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: MN  451)
Enumeration Date2006-03-28
Last Update Date2015-01-08
Business Address
-- WALTER NICHOLAS ELLIS DPM
106 DOCTORS PARK
ST CLOUD, MN 56303-1207
Phone number: 320-251-5444
Mailing Address
-- WALTER NICHOLAS ELLIS DPM
106 DOCTORS PARK
ST CLOUD, MN 56303-1207
Phone number: 320-251-5444