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1386130136
JUSTIN J ELLINGSTAD
EAU CLAIRE, WI
NPI
1386130136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4434-23)
Enumeration Date
2018-07-05
Last Update Date
2023-08-25
Business Address
JUSTIN J ELLINGSTAD PA-C
2741 N CLAIREMONT AVE
EAU CLAIRE, WI 54703-2595
Phone number: 715-834-0711
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Mailing Address
JUSTIN J ELLINGSTAD PA-C
719 W HAMILTON AVE STE B
EAU CLAIRE, WI 54701-6970
Phone number: 715-552-9784
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