INTEGRATIVE MEDICINE CONSULTANTS INC. NPI 1679707947

NPI Information

NPI: 1679707947
Provider Name: INTEGRATIVE MEDICINE CONSULTANTS, INC.
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
507 MAIN AVENUE
CLEAR LAKE, IA
ZIP 50428
Phone: (641) 357-4325
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INTEGRATIVE MEDICINE CONSULTANTS, INC. is a medical physician assistant in Clear Lake, IA. INTEGRATIVE MEDICINE CONSULTANTS, INC. NPI is 1679707947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

507 MAIN AVENUE
CLEAR LAKE, IA
ZIP 50428
Phone: (641) 357-4325

The provider's authorized official is Mary Frances Winegardner .
The authorized official title is President/provider and has the following contact phone number (641) 357-4325.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 6/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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