Individual
DR. MARK D ELDERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 CLEVELAND RD, WOOSTER, OH 44691-2204
(330) 287-4914
Mailing address
1740 CLEVELAND RD, WOOSTER, OH 44691-2204
(330) 287-4914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055522
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802822
—
OH
Enumeration date
10/04/2006
Last updated
10/21/2011
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