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

Thomas Wilks Ellis III, PAC

Individual provider Physician Assistant · NPI 1881632891

Thomas Wilks Ellis III, PAC is a Physician Assistant in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

12000 Elm Creek Blvd N Ste 360
Maple Grove, MN 55369-7073
Phone: (763) 315-4300
Fax: (763) 315-4360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9063 (MN)

Record details

NPI number1881632891
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESSeptember 24, 2012

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