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Search › Wisconsin › 163WC0200X

Miles Ellsworth, SRNA

NPI 1841703402 · on the registry since 2017

Practice

Address
1000 N Oak Ave
Marshfield, WI 54449
Phone
(715) 387-5511
Organisation at this address
Marshfield Clinic
Marshfield Clinic
Marshfield Clinic
Marshfield Clinic
Mchs Hospitals Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,005

Registry record

Primary taxonomy
163WC0200X
163WC0200X
Also registered as
390200000X
Licence states on file
FL, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-06

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