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Rachael Marie Ellis, MD
Student in an Organized Health Care Education/Training Program in De Pere, Wisconsin
NPI 1558604785

Rachael Marie Ellis is a Student in an Organized Health Care Education/Training Program based in Green Bay, WI. Rachael Marie Ellis practices in De Pere, WI and has the professional credentials of MD. The NPI Number for Rachael Marie Ellis is 1558604785 and holds a License No. 62686-20 (Wisconsin).

The current practice location address for Rachael Marie Ellis is 555 Redbird Cir, De Pere, WI and can be reached out via phone at 920-338-6820 and via fax at 920-338-6829.

Location: 555 Redbird Cir, De Pere, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558604785
Provider Name
Rachael Marie Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
555 Redbird Cir, De Pere, WI, 54305-2487
Phone Number
920-338-6820
Fax Number
920-338-6829
Provider Enumeration Date
04/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Redbird Cir
City
De Pere
State
Wisconsin
Zip
54115-7977
Phone Number
920-338-6820
Fax Number
920-338-6829
person
Provider Business Mailing Address Details
Address
555 Redbird Cir
City
De Pere
State
Wisconsin
Zip
54115-7977
Phone Number
920-338-6820
Fax Number
920-338-6829
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
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Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
62686-20 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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