Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Earl Ellwein, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1063480804

Gary Earl Ellwein, MD is an Anatomic Pathology & Clinical Pathology Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6050
Fax: (208) 529-7085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence M3265 (ID)

Record details

NPI number1063480804
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESDecember 27, 2012

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