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1871112300
MATTHEW S ELISSA
MILWAUKEE, WI
NPI
1871112300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
MATTHEW S ELISSA MD
5000 W CHAMBERS ST
MILWAUKEE, WI 53210-1650
Phone number: 414-447-2195
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Mailing Address
MATTHEW S ELISSA MD
5000 W CHAMBERS ST
MILWAUKEE, WI 53210-1650
Phone number:
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