Individual
ELLEN A FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 COTTAGE GROVE RD, MADISON, WI 53716-1392
(608) 221-1501
(608) 223-3540
Mailing address
4901 COTTAGE GROVE RD, MADISON, WI 53716-1392
(608) 221-1501
(608) 223-3540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21578
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30184200
—
WI
Enumeration date
04/03/2006
Last updated
11/04/2010
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