Kent P Ellerbroek Md Pc in Waterloo - Mohs-micrographic Surgery
Kent P Ellerbroek Md Pc - NPI 1346403755
Kent P Ellerbroek Md Pc is a Mohs-micrographic Surgery in Waterloo, Iowa. Kent P Ellerbroek Md Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Kent P Ellerbroek Md Pc is 1346403755. The last update date is 2008-10-14.
Kent P Ellerbroek Md Pc's current location address is 541 King Dr, Waterloo, Iowa. You can contact this provider via phone number 3192356323 and fax number 3192350249. The mailing address for Kent P Ellerbroek Md Pc is 541 King Dr, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kent P Ellerbroek Md Pc |
|---|---|
| Address | 541 King Dr, Waterloo, Iowa |
| Phone Number | 3192356323 |
| Fax Number | 3192350249 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DO |
|---|---|
| Authorized Official Name | Ellerbroek P Kent |
| Credentials | M.D. |
| Telephone Number | 3192356323 |
NPI Number Detail
| NPI Number | 1346403755 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2008-10-14 |
Provider Mailing Address Detail
| Address | 541 King Dr |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 507025959 |
| Phone Number | 3192356323 |
| Fax Number | 3192350249 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 202213 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Post Comment/ Review Below
What is the unique identifier code issued to Kent P Ellerbroek Md Pc by the Centers for Medicare & Medicaid Services?
The Kent P Ellerbroek Md Pc has been assigned the NPI (National Provider Identifier) 1346403755. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kent P Ellerbroek Md Pc?
The Kent P Ellerbroek Md Pc is situated at 541 King Dr, in the city of Waterloo, state of IA, with the zip code 507025959.
What is Kent P Ellerbroek Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kent P Ellerbroek Md Pc is Mohs-micrographic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Nd0101X.
On what date did the Kent P Ellerbroek Md Pc receive the assignment of its 1346403755 from the Centers for Medicare & Medicaid Services?
The Kent P Ellerbroek Md Pc was issued its 1346403755 by the Centers for Medicare & Medicaid Services on 2008-07-07.
When was the information regarding Kent P Ellerbroek Md Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kent P Ellerbroek Md Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-14.