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Organization
WELLENDORF ENT, P.C.
Active
Organization
WELLENDORF ENT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY G WELLENDORF M.D. (PRESIDENT)
(712) 792-4368
Entity
Organization
Contact information
Practice address
405 S CLARK ST, SUITE 215, CARROLL, IA 51401-3065
(712) 792-4368
(712) 792-2056
Mailing address
PO BOX 766, CARROLL, IA 51401-0766
(712) 792-4368
(712) 792-4351
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30594
IA
Other
Enumeration date
05/10/2007
Last updated
03/26/2019
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