Wellendorf Ent, P.c.

NPI #1740494244 in Carroll, Iowa

Provider Information

NPI Number: 1740494244
Entity Type: Organization
Organization Name: Wellendorf Ent, P.c.
Primary Specialty: Otolaryngology
Enumeration Date: May 10, 2007
Last Updated: Mar 26, 2019

Practice Location

Address: 405 S CLARK ST
Address 2: SUITE 215
City: Carroll
State: Iowa
ZIP Code: 51401-3065
Phone: (712) 792-4368

Authorized Official

Name: DR. TRACEY G WELLENDORF, M.D.
Title: PRESIDENT
Phone: (712) 792-4368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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