DARREN ELLENBOLT, M.D.
Family Medicine
Active
Individual
NPI: 1700855012
Practice Address
240 MAPLE AVE.PROHEALTH CARE MEDICAL ASSOCIATES, INC.
Mukwonago, WI 53149
Phone: (262) 928-1900
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 47860 (WI) |
Frequently Asked Questions
NPI 1700855012 is the National Provider Identifier for DARREN ELLENBOLT, M.D., a Family Medicine provider located in Mukwonago, WI. This NPI was enumerated on March 17, 2006.
DARREN ELLENBOLT, M.D. practices at 240 MAPLE AVE., PROHEALTH CARE MEDICAL ASSOCIATES, INC., Mukwonago, WI 53149.
Quick Facts
- NPI
- 1700855012
- Type
- Individual
- Enumerated
- Mar 17, 2006
- Last Updated
- Nov 2, 2011
Nearby Providers
-
DR. JAMES HARASYMIW, PSYD
Psychologist
-
RICHARD PEARSON
Optometrist
-
VILLAGE OF MUKWONAGO
Ambulance
-
JULIE DOYLE, PA-C
Physician Assistant
-
JON WOOLEVER, M.D.
Family Medicine