OrganizationActive
Kent P Ellerbroek MD PC
NPI 1346403755 · MOHS-Micrographic Surgery Physician · Waterloo, IA
Provider details
- NPI number
- 1346403755
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kent Ellerbroek, Medical Doctor(319) 235-6323
- License
- 202213 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
541 King Dr
Waterloo, IA 50702-5959
Phone: (319) 235-6323
Fax: (319) 235-0249
Approximate (ZIP-level) locationGet directions
Mailing address
541 King Dr
Waterloo, IA 50702-5959
Registry dates
- Enumerated
- 2008-07-07
- Last updated
- 2008-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.