Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Alexander Karlsson Ellifson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659076719

Grant Alexander Karlsson Ellifson is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Milwaukee, WI

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 3434 E Washington Ave, Madison, WI 53704-4155 — (608) 443-5482

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001202 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659076719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

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