LUKE ELLICKSON

MADISON, WI
NPI1477238483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6001191)
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
LUKE ELLICKSON DDS
440 SCIENCE DR STE 100
MADISON, WI 53711-1064
Phone number: 608-308-2950
Mailing Address
LUKE ELLICKSON DDS
6115 SATURN DR
MADISON, WI 53718-3129
Phone number: 417-569-6575