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220 Mulberry St Wapello IA 52653-1570 | |
(319) 768-4085 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 220 Mulberry St, Wapello, Iowa |
Authorized Official Name and Position | Michael J Mccoy (PRESIDENT & CEO) |
Authorized Official Contact | 3197686268 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1221 S Gear Ave West Burlington IA 52655-1679 Ph: (319) 768-3622 | 220 Mulberry St Wapello IA 52653-1570 Ph: (319) 768-4085 |
NPI Number | 1154996411 |
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Provider Enumeration Date | 05/20/2021 |
Last Update Date | 10/18/2022 |
Identifier | Type | State | Issuer |
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1154996411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |