Individual provider · Type 1 NPI

Gary Earl Ellwein, MD

Anatomic Pathology & Clinical Pathology Physician · Idaho Falls, ID

NPI number 1063480804 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Call (208) 529-6050 Map

Fax (208) 529-7085

Mailing address

1820 E 17th St, Ste 230
Idaho Falls, ID 83404-6521

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XM3265 (ID)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1063480804

Gary Earl Ellwein, MD's National Provider Identifier is 1063480804, issued on Mar 9, 2006. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 27, 2012.