Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Ellison

Individual provider Surgery Physician · NPI 1861655581

Dr. Jonathan Ellison is a Surgery Physician in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Michigan, Washington and Wisconsin.

Licensed in
MI, WA, WI
In the registry since
2008
Specialties on file
3

Practice location Address checks out

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-3794
Fax: (414) 266-1752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2575 E Evergreen Drive, Appleton, WI 54913-8904 — (920) 969-5353

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 69623 (WI)
Surgery Physician Taxonomy 208600000X · Licence 4301092616 (MI)
Pediatric Urology Physician Taxonomy 2088P0231X · Licence MD60449464 (WA)

Record details

NPI number1861655581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESJune 13, 2023
Certification dateJune 2, 2023
Mailing address9000 W Wisconsin Ave, Milwaukee, WI 53226-4874

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