Individual
TIM ELLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 W MAIN ST, MADISON, WI 53715-1424
(608) 280-2600
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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