Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kent P Ellerbroek MD PC

Organization MOHS-Micrographic Surgery Physician · NPI 1346403755

Kent P Ellerbroek MD PC is an MOHS-Micrographic Surgery Physician in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2008.

Licensed in
IA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

541 King Dr
Waterloo, IA 50702-5959
Phone: (319) 235-6323
Fax: (319) 235-0249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 202213 (IA)

Record details

NPI number1346403755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Ellerbroek — Medical Doctor · (319) 235-6323
NPI enumeratedJuly 7, 2008
Last updated in NPPESOctober 14, 2008
Mailing address541 King Dr, Waterloo, IA 50702-5959

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