Eddie Ellis

NPI #1972919009 in Milwaukee, Wisconsin

Provider Information

NPI Number
1972919009
Entity Type
Individual
Name
Eddie Ellis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Jul 9, 2014
Last Updated
Jul 9, 2014

Practice Location

Address
8808 W MILL RD APT 1
ZIP Code
53225-1853
Phone
(414) 610-4318

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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