| Mercyone Waterloo Medical Center | |
|
3421 W 9th St Waterloo IA 50702-5401 | |
| (319) 272-7600 | |
| (319) 272-7597 |
| Full Name | Mercyone Waterloo Medical Center |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3421 W 9th St, Waterloo, Iowa |
| Authorized Official Name and Position | Timothy Huber (CONTROLLER) |
| Authorized Official Contact | 3192727607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Waterloo Medical Center 3421 W 9th St Waterloo IA 50702-5401 Ph: (319) 272-7600 | Mercyone Waterloo Medical Center 3421 W 9th St Waterloo IA 50702-5401 Ph: (319) 272-7600 |
| NPI Number | 1639110653 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639110653 | NPI | - | NPPES |
| I14183 | Other | IA | PTAN GROUP |
| 1104151471 | Other | IA | NPI, KARLA BRENNSCHEIDT |
| I14183001 | Other | IA | PTAN INDIVIDUAL, DR. KARLA BRENNSCHEIDT |
| I14184 | Other | IA | PTAN INDIVIDUAL, DR JANE SPRINGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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