Individual
DR. MICHAEL A ELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4887
Mailing address
9200 W WISCONSIN AVE STE 300, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
79916
MN
207RC0000X
Cardiovascular Disease Physician
81478
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235661117
—
WI
Enumeration date
03/30/2017
Last updated
07/14/2025
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