Individual
YAKUB A. ELLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
729 AMNICON TRL, MADISON, WI 53718-3232
(715) 897-0293
Mailing address
729 AMNICON TRL, MADISON, WI 53718-3232
(715) 897-0293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
08/21/2006
Last updated
01/27/2021
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