Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sally J Ellebracht-Gerke, MD

Individual provider Family Medicine Physician · NPI 1235168097

Sally J Ellebracht-Gerke, MD is a Family Medicine Physician in Boonville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17110 Highway 87
Boonville, MO 65233-2939
Phone: (660) 672-7005
Fax: (660) 882-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2001014617 (MO)

Record details

NPI number1235168097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2006
Last updated in NPPESApril 18, 2013

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