Individual
JUSTIN J ELLINGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
617 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6223
(715) 834-2788
Mailing address
2403 FOLSOM ST, EAU CLAIRE, WI 54703-2435
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4434
WI
Other
Enumeration date
07/05/2018
Last updated
04/10/2026
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