| |
3201 1st St Emmetsburg IA 50536-2516 | |
(641) 422-6999 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 3201 1st St, Emmetsburg, Iowa |
Authorized Official Name and Position | Rodney Schlader (CFO) |
Authorized Official Contact | 6414227349 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1894 Mason City IA 50402-1894 Ph: (641) 494-3041 | 3201 1st St Emmetsburg IA 50536-2516 Ph: (641) 422-6999 |
NPI Number | 1003073248 |
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Provider Enumeration Date | 05/16/2008 |
Last Update Date | 05/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003073248 | NPI | - | NPPES |
47718 | Other | IA | WELLMARK |
0221457 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |