| |
321 Center St Manning IA 51455-1020 | |
(712) 655-2551 | |
(712) 655-2579 |
Full Name | |
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Speciality | Family Medicine |
Location | 321 Center St, Manning, Iowa |
Authorized Official Name and Position | Karen A Reinke (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 7126552551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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321 Center St Manning IA 51455-1020 Ph: (712) 655-2551 | 321 Center St Manning IA 51455-1020 Ph: (712) 655-2551 |
NPI Number | 1659367241 |
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Provider Enumeration Date | 09/20/2005 |
Last Update Date | 05/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659367241 | NPI | - | NPPES |
0112920 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |