Individual
RENEE ASCHER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3144 WILGUS AVE, SHEBOYGAN, WI 53081-3045
(920) 451-1400
Mailing address
5002 SUPERIOR AVE, SHEBOYGAN, WI 53083-3439
(920) 803-0270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4105-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38962300
—
WI
Enumeration date
03/13/2007
Last updated
07/08/2007
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