Natalie J Ellingson, PAC
NPI #1548473127 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1548473127
- Entity Type
- Individual
- Name
- Natalie J Ellingson, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- May 8, 2007
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 146 E GENEVA SQ
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-9694
- Phone
- (262) 843-4422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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