NPI 1790981207

Justin Craig Ellerbroek, MD

Practitioner Dermatology Physician Waterloo, IA

Practice location

Address: 3741 Pheasant Ln, Waterloo, IA 50701-5215
Phone: (319) 234-6000
Fax: (319) 234-6001
Mailing address: PO Box 2400, Waterloo, IA 50704-2400

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 38816 (IA)

Other Dermatology providers in Iowa →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 38816 (IA)

Registry record

NPI: 1790981207
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2007
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.