Individual
NICHOLAS ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 SE MICHAEL DR, ANKENY, IA 50021-3975
(515) 681-7071
Mailing address
1406 SE MICHAEL DR, ANKENY, IA 50021-3975
(515) 681-7071
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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