MR. Bruce Ellarson

NPI #1265519771 in Madison, Wisconsin

Provider Information

NPI Number: 1265519771
Entity Type: Individual
Name: MR. Bruce Ellarson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 1, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 317 KNUTSON DR
City: Madison
State: Wisconsin
ZIP Code: 53704-1133
Phone: (608) 301-9337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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