Patrice C Ellingson is a Optometrist based in Fort Wayne, IN. Patrice C Ellingson practices in Fort Wayne, IN and has the professional credentials of OD. The NPI Number for Patrice C Ellingson is 1639163884 and holds a License No. 18002448 (Indiana).
The current practice location address for Patrice C Ellingson is 1515 E Paulding Rd, Fort Wayne, IN and can be reached out via phone at 260-744-2273 and via fax at 260-744-4555.
Identifier | Type | State | Issuer |
---|---|---|---|
000000243494 | 01 | IN | ANTHEM NONPAR |
100411890 | 05 | IN | |
100411890A | 05 | IN | |
410017027 | 01 | IN | MEDICARE RR |
410040819 | 01 | IN | MEDICARE RR |
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