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Contact Information

WARREN R ELLISON, MD
3200 E RACINE ST
JANESVILLE, WI53546-2343
 Phone: 608-371-8000
 Fax: 608-371-8924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for WARREN R ELLISON · (Male)

NPI Number 1194765560
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 26121-020
  • WI Medicaid 30578500
  • WI Other 1023 DEAN HEALTH INSURANCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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