DR. Wayne D Ellenbecker, O.D.
NPI #1710972450 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1710972450
- Entity Type
- Individual
- Name
- DR. Wayne D Ellenbecker, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Sep 25, 2017
Practice Location
- Address
- 1250 W IRONWOOD DR
- Address 2
- SUITE 201
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2679
- Phone
- (208) 667-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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