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Individual

DR. NICHOLAS C. ELLEFSON

Active
Find providers by NPI
Individual

DR. NICHOLAS C. ELLEFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3356
WV
207Q00000X
Family Medicine Physician
66646
MN
207Q00000X
Family Medicine Physician
71579-21
WI
208M00000X
Hospitalist Physician
Primary
66646
MN
208M00000X
Hospitalist Physician
71579-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—

Other

Enumeration date
06/23/2017
Last updated
09/01/2026
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