DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN M. ELLESTAD, DO

Active Sole Proprietor

STEPHEN M. ELLESTAD, DO is a Emergency Medicine healthcare provider located in DECORAH, Iowa. NPI 1124009634 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · DECORAH, IA

Registration Details

NPI Number
1124009634
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2005 (20.74209172942 yrs)
Last Updated
Apr 8, 2021
License
02380 (IA)
Sole Proprietor
Yes

Practice Information

Address
502 MOUND ST
DECORAH, IA, 521011508
Browse IA providers · Browse ZIP 52101
Phone
5633820118
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in DECORAH, IA

Name Credential NPI
LARRY J BARTHEL MD 1821079906
DR. SANDY KAY CLAYTON M.D. 1578827465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.