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Individual

ELLEN L ZIAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1800
(414) 649-5309
Mailing address
11516 N PORT WASHINGTON RD, STE 202, MEQUON, WI 53092-3441
(262) 241-5040
(262) 251-5261

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
39952
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32461100
WI
Enumeration date
06/12/2006
Last updated
09/15/2023
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