EDDIE ELLIS

MILWAUKEE, WI
NPI1972919009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QC1500X Clinic/Center Community Health
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
EDDIE ELLIS
8808 W MILL RD APT 1
MILWAUKEE, WI 53225-1853
Phone number: 414-610-4318
Mailing Address
EDDIE ELLIS
8808 W MILL RD APT 1
MILWAUKEE, WI 53225-1853
Phone number: