Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIS P WALLER JR., MD
ActiveDR. ELLIS P WALLER JR., MD is a Family Medicine healthcare provider located in MADISON, Wisconsin. NPI 1972726081 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MADISON, WI
Registration Details
- NPI Number
- 1972726081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.360657691259 yrs)
- Last Updated
- Apr 27, 2012
- License
-
52729 (WI)
Practice Information
- Address
-
345 WEST WASHINGTON AVE.SUITE 100MADISON, WI, 537032701Browse WI providers · Browse ZIP 53703
- Phone
- 6084178300
- Fax
- 6084178301
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| DANALYN K RAYNER | M.D. | 1013913144 |
| DR. MICHAEL G KLOESS | MD | 1518968254 |
| DR. WILLIAM JAMES KINSEY | MD | 1376545939 |
| DR. RUSSELL L LEMMON | D.O. | 1518950591 |
| JEFFREY ALBERT HUEBNER | MD | 1447243209 |
| DR. BRUCE E AGNEBERG | M.D. | 1871587899 |
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.