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3201 1st St Emmetsburg IA 50536-2516 | |
(712) 852-5555 | |
(712) 852-5560 |
Full Name | |
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Speciality | Family Medicine |
Location | 3201 1st St, Emmetsburg, Iowa |
Authorized Official Name and Position | Desiree A Einsweiler (CEO) |
Authorized Official Contact | 7128525401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3201 1st St Emmetsburg IA 50536-2516 Ph: (712) 852-5500 | 3201 1st St Emmetsburg IA 50536-2516 Ph: (712) 852-5555 |
NPI Number | 1326051574 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 12/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326051574 | NPI | - | NPPES |
46838 | Other | IA | WELLMARK |
0171686 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |