KENT P ELLERBROEK

WATERLOO, IA
NPI1104800192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: IA  20213)
Enumeration Date2005-12-02
Last Update Date2008-10-14
Business Address
MR. KENT P ELLERBROEK MD
541 KING DR
WATERLOO, IA 50702-5959
Phone number: 319-235-6323
Mailing Address
MR. KENT P ELLERBROEK MD
541 KING DR
WATERLOO, IA 50702-5959
Phone number: 319-235-6323
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