# ELLENSON FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578996658
- **Authorized official:** DR. NICHOLAS ELLENSON (DC)
- **Authorized official phone:** (262) 754-6850

## Contact information

- **Practice address:** 21075 SWENSON DR, WAUKESHA, WI 53186-2000
- **Practice address phone:** (262) 754-6850
- **Mailing address:** 21075 SWENSON DR, WAUKESHA, WI 53186-2000
- **Mailing address phone:** (262) 754-6850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4932 - 12 | WI | Yes |

## Other

- **Enumeration date:** 08/13/2013
- **Last updated:** 08/13/2013