Charles J Latendresse, MD | |
1506 G Ave, Grundy Center, IA 50638-1038 | |
(319) 824-3181 | |
(319) 824-6680 |
Full Name | Charles J Latendresse |
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Gender | Male |
Speciality | Family Medicine |
Location | 1506 G Ave, Grundy Center, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245227743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21831 (Iowa) | Primary |
Entity Name | Unitypoint Health - Marshalltown |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
Mailing Address | Practice Location Address |
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Charles J Latendresse, MD 1506 G Ave, Po Box 128, Grundy Center, IA 50638-1038 Ph: (319) 824-3181 | Charles J Latendresse, MD 1506 G Ave, Grundy Center, IA 50638-1038 Ph: (319) 824-3181 |
Samantha Marie Banser Bissen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E J Ave Ste 120, Grundy Center, IA 50638 Phone: 319-824-6945 | |
Dr. Frank Lee Lamp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 6th St, Grundy Center, IA 50638 Phone: 319-825-4441 Fax: 319-825-4440 | |
Eric F Opheim, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 606 E 1st St, Grundy Center, IA 50638 Phone: 319-824-6945 Fax: 319-824-6947 |