DR. Mary Katherine Ellis, MD

NPI #1679688774 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1679688774
Entity Type: Individual
Name: DR. Mary Katherine Ellis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Aug 20, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 915 SUMMIT AVE
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-3994
Phone: (262) 569-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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