Eddie Ellis
Eddie Ellis is a Community Health Clinic/Center in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
8808 W Mill Rd Apt 1Milwaukee, WI 53225-1853
Phone: (414) 610-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X |
|---|
Record details
| NPI number | 1972919009 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2014 |
| Last updated in NPPES | July 9, 2014 |
| Mailing address | 8808 W Mill Rd Apt 1, Milwaukee, WI 53225-1853 |
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