Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACEY G WELLENDORF, MD
ActiveMR. TRACEY G WELLENDORF, MD is a Otolaryngology healthcare provider located in CARROLL, Iowa. NPI 1528057387 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · CARROLL, IA
Registration Details
- NPI Number
- 1528057387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2005 (20.867533951294 yrs)
- Last Updated
- Mar 25, 2019
- License
-
30594 (IA)
Practice Information
- Address
-
405 S CLARK STSUITE 215CARROLL, IA, 514013065Browse IA providers · Browse ZIP 51401
- Phone
- 7127924368
- Fax
- 7127922056
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in CARROLL, IA
| Name | Credential | NPI |
|---|---|---|
| JESSICA LEEDS | MSN. ARNP, FNP-BC | 1750089058 |
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.