| NPI | 1598357162 |
|---|---|
| Doing Business As | DR. WILFRED ELLIS BUILDING |
| Entity Type | Organization |
| Authorized Contact | JANIS SUNDERHAUS CEO 419-221-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |