Individual
DR. ELIZABETH HOLLENBACK ELLINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 805-3666
Mailing address
5000 W CHAMBERS ST, HOSPITAL BASED @ ST. JOSEPH HOSP., MILWAUKEE, WI 53210-1650
(414) 447-2967
(414) 447-2883
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41825
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006000215H
HUMANA
—
05
—
1598716094
—
WI
05
—
32614200
—
WI
Enumeration date
05/12/2006
Last updated
11/22/2019
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