Gary Earl Ellwein MD

  • NPI 1063480804
According to our database, the NPI number for Gary Earl Ellwein MD is 1063480804 and activated since 18 years ago. Gary Earl Ellwein MD is an individual provider who specializes in Anatomic Pathology & Clinical Pathology, and the primary practice location is 3100 Channing Way, Idaho Falls, ID 83404. You can also contact Gary Earl Ellwein MD via telephone number is (208) 529-6050. Provider NPI information was last updated on 12/27/2012.

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Overview of Gary Earl Ellwein MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/09/2006
  • Last updated: 12/27/2012

Primary Scrop of Practice

  • Taxonomy Code: 207ZP0102X
  • Specialty: Anatomic Pathology & Clinical Pathology
  • License Number: M3265
  • License State: ID

Provider Mailing Address

  • Address: 1820 E 17th St
    Ste 230
    Idaho Falls, ID 83404
  • Phone: 208-529-9779
  • Fax: 208-542-2756

Provider Practice Location

  • Address: 3100 Channing Way
    Idaho Falls, ID 83404
  • Phone: 208-529-6050
  • Fax: 208-529-7085

Scope of Practice

  • Taxonomy Code: 207ZP0102X
  • Specialty: Anatomic Pathology & Clinical Pathology
  • License Number: M3265
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 003682000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gary Earl Ellwein MD?
  • A: The npi number for Gary Earl Ellwein MD is 1063480804.
  • Q: What are Gary Earl Ellwein MD's specialties?
  • A: Gary Earl Ellwein MD's specialties are Anatomic Pathology & Clinical Pathology and different specialities.
  • Q: What is the medical license for Gary Earl Ellwein MD?
  • A: The medical license number for Gary Earl Ellwein MD is M3265 and issued in ID in USA.
  • Q: Where is Gary Earl Ellwein MD practice location?
  • A: Gary Earl Ellwein MD is practicing at 3100 Channing Way, Idaho Falls, ID 83404.
  • Q: How to contact Gary Earl Ellwein MD?
  • A: You can contact Gary Earl Ellwein MD via 208-529-6050.