Ellis P Waller in Madison - Family Medicine

Ellis P Waller - NPI 1972726081

Ellis P Waller is a Family Medicine in Madison, Wisconsin. Ellis P Waller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ellis P Waller is 1972726081. The last update date is 2012-04-27.

Ellis P Waller's current location address is 345 West Washington Ave., Madison, Wisconsin. You can contact this provider via phone number 6084178300 and fax number 6084178301. The mailing address for Ellis P Waller is 345 West Washington Ave., Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellis P Waller
Address 345 West Washington Ave., Madison, Wisconsin
Phone Number 6084178300
Fax Number 6084178301
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972726081
Provider Enumeration Date 2007-04-10
Last Updated Date 2012-04-27

Provider Mailing Address Detail

Address 345 West Washington Ave.
City Madison
State Wisconsin (WI)
Post Code 537032701
Phone Number 6084178300
Fax Number 6084178301

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 52729
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Ellis P Waller

What is the unique identification code assigned to Ellis P Waller by the Centers for Medicare & Medicaid Services?

The Ellis P Waller has been issued the NPI (National Provider Identifier) 1972726081. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ellis P Waller is located?

The Ellis P Waller is situated at the following address: 345 West Washington Ave., Madison, WI, 537032701.

What is the Ellis P Waller's specialty and taxonomy code?

The Ellis P Waller's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When was the Ellis P Waller's 1972726081 issued?

The Ellis P Waller's 1972726081 was issued on 2007-04-10.

When was the information regarding Ellis P Waller most recently updated?

The details pertaining to the Ellis P Waller, including its address, specialty, and other relevant information, were last refreshed on 2012-04-27.

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