IndividualActive
Jonathan Ellison
NPI 1861655581 · Pediatric Urology Physician · Milwaukee, WI
Provider details
- NPI number
- 1861655581
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4301092616 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-3794
Fax: (414) 266-1752
Approximate (ZIP-level) locationGet directions
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Additional practice locations (1)
- 2575 E Evergreen DriveAppleton, WI 54913-8904Phone: (920) 969-5353Fax: (414) 337-7201
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2023-06-13
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.