NPI 1265519771

Bruce Ellarson

Practitioner Other Technician Madison, WI

Practice location

Address: 317 Knutson Dr, Madison, WI 53704-1133
Phone: (608) 301-9337
Fax: (608) 301-9388

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Wisconsin →

Registry record

NPI: 1265519771
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.