Full Name | |
---|---|
Speciality | Family Medicine |
Location | 101 E. Pine, Marcus, Iowa |
Authorized Official Name and Position | Daryl J Friedenbach (DIRECTOR OF FISCAL SERVICES) |
Authorized Official Contact | 7125463338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
714 Lincoln St Ne Le Mars IA 51031-3314 Ph: (712) 546-3338 | 101 E. Pine Marcus IA 51035-7741 Ph: (712) 376-4181 |
NPI Number | 1588725220 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 07/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588725220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |