MR. KENT ELLERBROEK, MD

Dermatology

Active Individual
NPI: 1104800192

Practice Address

541 KING DR
Waterloo, IA 50702

Phone: (319) 235-6323

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 20213 (IA)

Frequently Asked Questions

NPI 1104800192 is the National Provider Identifier for MR. KENT ELLERBROEK, MD, a Dermatology provider located in Waterloo, IA. This NPI was enumerated on December 2, 2005.
MR. KENT ELLERBROEK, MD practices at 541 KING DR, Waterloo, IA 50702.

Quick Facts

NPI
1104800192
Type
Individual
Enumerated
Dec 2, 2005
Last Updated
Oct 14, 2008

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