| Fiat Family Medicine | |
|
220 Southbrooke Dr Waterloo IA 50702-5802 | |
| (319) 236-7751 | |
| (319) 236-7753 |
| Full Name | Fiat Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Southbrooke Dr, Waterloo, Iowa |
| Authorized Official Name and Position | Robert Stephen Pranger (PHYSICIAN) |
| Authorized Official Contact | 3192367751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiat Family Medicine 220 Southbrooke Dr Waterloo IA 50702-5802 Ph: (319) 236-7751 | Fiat Family Medicine 220 Southbrooke Dr Waterloo IA 50702-5802 Ph: (319) 236-7751 |
| NPI Number | 1194238535 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Medicare PECOS PAC ID | 9739448267 |
|---|---|
| Medicare Enrollment ID | O20180109000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194238535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD34769 (Iowa) | Primary |
| Provider Name | Robert S Pranger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972582856 PECOS PAC ID: 3274439336 Enrollment ID: I20031209001044 |
| Provider Name | Katie Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689291411 PECOS PAC ID: 5991106007 Enrollment ID: I20210628001037 |
| Provider Name | Elizabeth Ann Myhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003421959 PECOS PAC ID: 1658727888 Enrollment ID: I20231025000372 |
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