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Individual

MR. JOHN M ELLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9941-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36134200
WI
Enumeration date
05/01/2006
Last updated
12/08/2021
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