Individual
DR. PATRICK S ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
49 N WALBRIDGE AVE, MADISON, WI 53714-3506
(608) 249-2555
Mailing address
1311 GILE DR, WAUNAKEE, WI 53597-2661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5394015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33788400
—
WI
Enumeration date
05/16/2006
Last updated
07/08/2007
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