Unknown Individual – Orthopaedic Surgery Physician, NPI 1417900705
Orthopaedic Surgery Physician
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NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4006 JOHNATHAN ST
SUITE B
WATERLOO, IA 507019395
Phone: (319) 233-2663
Fax: (319) 287-8094
Type: Location
Waterloo Post Office, East 4th Street, Waterloo, Monroe County, Illinois, 62298, United States
WATERLOO, IA 507042758
Phone: (319) 235-5390
Fax: (319) 233-1630
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | MN |
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