Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY KATHERINE ELLIS, MD
ActiveDR. MARY KATHERINE ELLIS, MD is a Ophthalmology healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1679688774 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1679688774
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2006 (19.840828776049 yrs)
- Last Updated
- Mar 7, 2023
- License
-
29428-020 (WI)
Practice Information
- Address
-
915 SUMMIT AVEOCONOMOWOC, WI, 530663994Browse WI providers · Browse ZIP 53066
- Phone
- 2625692300
- Fax
- 2625692266
- Primary Specialty
-
Ophthalmology
207W00000X
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.