Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS C. ELLEFSON, DO
ActiveFamily Medicine · SUPERIOR, WI
Registration Details
- NPI Number
- 1639699200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2017 (8.828845050006 yrs)
- Last Updated
- Jun 19, 2020
- Licenses
-
66646 (MN)3356 (WV)71579-21 (WI)
Practice Information
- Address
-
3500 TOWER AVESUPERIOR, WI, 548804491Browse WI providers · Browse ZIP 54880
- Phone
- 7158177100
- Fax
- 7158177039
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| DANIEL CABOT | DO | 1255306858 |
| DR. EMILY J ANDERSON | MD | 1770551335 |
| LAUREN ELIZABETH GIAMMAR | MD | 1760449763 |
| DR. DAVID JAMES KIRBY | MD | 1629027032 |
| DR. ROBERT LOVELL SELLERS | MD | 1598716953 |
| DR. JON CHARLES STEPHENSON | MD | 1114978236 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.