Individual
ELLEN MENEFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
788 N JEFFERSON ST, SUITE 401, MILWAUKEE, WI 53202-3718
(414) 226-4020
(414) 225-2929
Mailing address
788 N JEFFERSON ST, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1734
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700809928
—
WI
Enumeration date
07/26/2006
Last updated
11/09/2016
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