# DR. ELYSE NICOLE BROCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851659403
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | MD-48215 | IA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 9907 | SD | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD-48215 | IA | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 07/08/2021
