ELLIS P WALLER

MADISON, WI
NPI1972726081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  52729)
Enumeration Date2007-04-10
Last Update Date2012-04-27
Business Address
DR. ELLIS P WALLER MD
345 WEST WASHINGTON AVE. SUITE 100
MADISON, WI 53703-2701
Phone number: 608-417-8300
Mailing Address
DR. ELLIS P WALLER MD
202 S PARK ST
MADISON, WI 53715-1507
Phone number:
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