Ellen Ashley Giordano, MD
Family Medicine in Waukesha, WI. Individual provider (NPI-1).
NPI number1629539655
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1629539655
- Entity type
- Individual (NPI-1)
- Name
- Ellen Ashley Giordano
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2019
- Certification date
- Sep 2, 2025
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 73994 | WI | Yes |
| 207Q00000X | Family Medicine | 036161763 | IL |
Practice location
717 W Moreland BlvdWaukesha, WI 53188-2432
Phone 262-542-9100
Mailing address
717 W Moreland BlvdWaukesha, WI 53188-2432
Phone 262-542-9100
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