Individual provider · Type 1 NPI
Eddie Ellis
Community Health Clinic/Center · Milwaukee, WI
NPI number
1972919009
Active
Practice location
8808 W Mill Rd Apt 1
Milwaukee, WI 53225-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
Other community health clinic/center providers in Milwaukee
About NPI 1972919009
Eddie Ellis's National Provider Identifier is 1972919009, issued on Jul 9, 2014. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 9, 2014.