Individual
DR. MICHAEL P EJERCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6206
(608) 417-6051
Mailing address
PO BOX 628156, MIDDLETON, WI 53562-8156
(626) 447-0296
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
047785
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34682000
—
WI
Enumeration date
09/20/2006
Last updated
07/24/2025
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