| Donald R Wirtanen Do | |
|
202 N Madison St Bloomfield IA 52537-1425 | |
| (641) 664-1400 | |
| (641) 664-1410 |
| Full Name | Donald R Wirtanen Do |
|---|---|
| Speciality | Family Medicine |
| Location | 202 N Madison St, Bloomfield, Iowa |
| Authorized Official Name and Position | Kelli L Klum (INSURANCE MANAGER) |
| Authorized Official Contact | 6416641400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald R Wirtanen Do 202 N Madison St Bloomfield IA 52537-1425 Ph: (641) 664-1400 | Donald R Wirtanen Do 202 N Madison St Bloomfield IA 52537-1425 Ph: (641) 664-1400 |
| NPI Number | 1821295494 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 06/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821295494 | NPI | - | NPPES |
| 1821295494 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02100 (Iowa) | Primary |
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