Individual provider · Type 1 NPI

Thomas Wilks Ellis Iii, P.A. C

Physician Assistant · Maple Grove, MN

NPI number 1881632891 Active

Practice location

12000 Elm Creek Blvd N, Suite 360
Maple Grove, MN 55369-7073

Call (763) 315-4300 Map

Fax (763) 315-4360

Mailing address

2873 233rd Ln NW
St. Francis, MN 55070-8630

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9063 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1881632891

Thomas Wilks Ellis Iii, P.A. C's National Provider Identifier is 1881632891, issued on Jun 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 24, 2012.