Individual
ELLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(877) 266-8989
Mailing address
6055 CHURCHWOOD CIR, GREENDALE, WI 53129-2460
(414) 931-1556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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