SearchWisconsin207Q00000X

Ellis Waller, MD

NPI 1972726081 · on the registry since 2007

Practice

Address
345 West Washington Ave.
Suite 100
Madison, WI 53703
Phone
(608) 417-8300
Fax
(608) 417-8301
Organisation at this address
Infinity Transit Llc
Kathy J. Russeth, M.D., S.C.
The Nook Wellness And Therapy Llc
Safe Haven Living & Mobility, Llc
Resolution Health Collaborative Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-27

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