Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARREN R. ELLENBOLT, M.D.
ActiveDARREN R. ELLENBOLT, M.D. is a Family Medicine healthcare provider located in MUKWONAGO, Wisconsin. NPI 1700855012 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MUKWONAGO, WI
Registration Details
- NPI Number
- 1700855012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.399232317956 yrs)
- Last Updated
- Nov 2, 2011
- License
-
47860 (WI)
Practice Information
- Address
-
240 MAPLE AVE.PROHEALTH CARE MEDICAL ASSOCIATES, INC.MUKWONAGO, WI, 531498475Browse WI providers · Browse ZIP 53149
- Phone
- 2629281900
- Fax
- 2623631949
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MUKWONAGO, WI
| Name | Credential | NPI |
|---|---|---|
| JON L WOOLEVER | M.D. | 1982677969 |
| STEVEN C. FEHR | M.D. | 1104899277 |
| STEVEN G HAMMER | M.D. | 1134192198 |
| ANTHONY NORELLI | M.D. | 1093788176 |
| SCOTT R. STREHLOW | M.D. | 1235102310 |
| WAYNE W. PETERSON | M.D. | 1538132501 |
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.