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Dr. Nicholas C. Ellefson, DO
Family Medicine Physician in Superior, Wisconsin
NPI 1639699200

Nicholas C. Ellefson is a Family Medicine Physician based in Fargo, WI. Nicholas C. Ellefson practices in Superior, WI and has the professional credentials of DO. The NPI Number for Nicholas C. Ellefson is 1639699200 and holds a License No. 66646 (Wisconsin).

The current practice location address for Nicholas C. Ellefson is 3500 Tower Ave, Superior, WI and can be reached out via phone at 715-817-7100 and via fax at 715-817-7039.

Location: 3500 Tower Ave, Superior, WI, 58103-4940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639699200
Provider Name
Nicholas C. Ellefson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3500 Tower Ave, Superior, WI, 58103-4940
Phone Number
715-817-7100
Fax Number
715-817-7039
Provider Enumeration Date
06/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 Tower Ave
City
Superior
State
Wisconsin
Zip
54880-4491
Phone Number
715-817-7100
Fax Number
715-817-7039
person
Provider Business Mailing Address Details
Address
3500 Tower Ave
City
Superior
State
Wisconsin
Zip
54880-4491
Phone Number
715-817-7100
Fax Number
715-817-7039
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
3356 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
66646 (Minnesota)
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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