WAYNE D ELLENBECKER

COEUR D ALENE, ID
NPI1710972450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  800)
Enumeration Date2005-09-19
Last Update Date2017-09-25
Business Address
Dr. WAYNE D ELLENBECKER O.D.
1250 W IRONWOOD DR SUITE 201
COEUR D ALENE, ID 83814-2679
Phone number: 208-667-2255
Mailing Address
Dr. WAYNE D ELLENBECKER O.D.
2140 W RIVERSTONE DR STE 101
COEUR D ALENE, ID 83814-4968
Phone number: 208-667-2255
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