| Southeast Iowa Family Medicine And Allergy Associates | |
|
5409 Avenue O Suite 103 Fort Madison IA 52627-9601 | |
| (319) 372-6280 | |
| (319) 372-8119 |
| Full Name | Southeast Iowa Family Medicine And Allergy Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 5409 Avenue O, Fort Madison, Iowa |
| Authorized Official Name and Position | David Wenger-keller (OWNER) |
| Authorized Official Contact | 3193726280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Iowa Family Medicine And Allergy Associates 5409 Avenue O Suite 103 Fort Madison IA 52627-9601 Ph: (319) 372-6280 | Southeast Iowa Family Medicine And Allergy Associates 5409 Avenue O Suite 103 Fort Madison IA 52627-9601 Ph: (319) 372-6280 |
| NPI Number | 1306965504 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306965504 | NPI | - | NPPES |
| 0790337 | Medicaid | IA | |
| 0298828 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25663 (Iowa) | Primary |
Qv Urgent Care Ia Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 39th St, Fort Madison, IA 52627 Phone: 319-774-7518 | |
Fort Madison Community Hospital Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 |