Search › Wisconsin › 207Q00000X
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 IncInferred 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