STEPHEN M. ELLESTAD

DECORAH, IA
NPI1124009634
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IA  02380)
Enumeration Date2005-11-10
Last Update Date2021-04-08
Business Address
STEPHEN M. ELLESTAD DO
502 MOUND ST
DECORAH, IA 52101-1508
Phone number: 563-382-0118
Mailing Address
STEPHEN M. ELLESTAD DO
502 MOUND ST
DECORAH, IA 52101-1508
Phone number: 563-382-0118
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