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1326736307
COLLIN ELLENBECKER
MADISON, WI
NPI
1326736307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WI 100146-851)
Enumeration Date
2023-04-27
Last Update Date
2023-06-26
Business Address
COLLIN ELLENBECKER
600 HIGHLAND AVE
MADISON, WI 53792-1465
Phone number: 608-263-6400
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Mailing Address
COLLIN ELLENBECKER
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6400
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