| Cedar Centre Psychiatric Group | |
|
1730 1st Ave Ne Cedar Rapids IA 52402-5433 | |
| (319) 365-3993 | |
| (319) 364-0116 |
| Full Name | Cedar Centre Psychiatric Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1730 1st Ave Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Bryan Netolicky (PARTNER) |
| Authorized Official Contact | 3193653993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Centre Psychiatric Group Po Box 1408 Cedar Rapids IA 52406-1408 Ph: (319) 365-3993 | Cedar Centre Psychiatric Group 1730 1st Ave Ne Cedar Rapids IA 52402-5433 Ph: (319) 365-3993 |
| NPI Number | 1558338012 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558338012 | NPI | - | NPPES |
| 0174151 | Medicaid | IA | |
| 17415 | Other | IA | WELLMARK BC/BS |
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