DR. WAYNE ELLENBECKER, O.D.
Optometrist
Active
Individual
NPI: 1710972450
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 800 (ID) |
Frequently Asked Questions
NPI 1710972450 is the National Provider Identifier for DR. WAYNE ELLENBECKER, O.D., a Optometrist provider located in Coeur D Alene, ID. This NPI was enumerated on September 19, 2005.
DR. WAYNE ELLENBECKER, O.D. practices at 1250 W IRONWOOD DR, SUITE 201, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1710972450
- Type
- Individual
- Enumerated
- Sep 19, 2005
- Last Updated
- Sep 25, 2017
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