NPI Profile for MILES ELLSWORTH in MARSHFIELD, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1841703402 |
|
| Status | Active | |
| Credentials | SRNA | |
| Entity | Individual | |
| Enumeration date | 11/06/2017 | |
| Last updated | 11/06/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MILES ELLSWORTH
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