Search › Wisconsin › 122300000X
Grant Karlsson Ellifson
NPI 1659076719 · on the registry since 2023
Practice
- Address
- 1801 W Wisconsin Ave
Milwaukee, WI 53233 - Phone
- (608) 422-0516
- Organisation at this address
- Marquette University
Marquette UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 142
Additional practice sites
- 3434 E Washington Ave, Madison, WI
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin