Organization
ELLENSON FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ELLENSON (DC)
(262) 754-6850
Entity
Organization
Contact information
Practice address
21075 SWENSON DR, WAUKESHA, WI 53186-2000
(262) 754-6850
Mailing address
21075 SWENSON DR, WAUKESHA, WI 53186-2000
(262) 754-6850
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4932 - 12
WI
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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