institution
State University Of Iowa
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grinnell, Iowa
NPI 1881679371

State University Of Iowa is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Iowa City, IA and is specialized in End-Stage Renal Disease (ESRD) Treatment. State University Of Iowa practices in Grinnell, IA. The NPI Number for State University Of Iowa is 1881679371 and holds a License No. (Iowa).

The current practice location address for State University Of Iowa is 803 Broad St, Grinnell, IA and can be reached out via phone at 641-236-7419.

Location: 803 Broad St, Grinnell, IA, 52242-1009
institution
Provider Profile Details
NPI Number
1881679371
Provider Name
State University Of Iowa
Credential
Provider Entity Type
Organization
Address
803 Broad St, Grinnell, IA, 52242-1009
Phone Number
641-236-7419
Fax Number
Provider Enumeration Date
12/07/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62306 01 IA WELLMARK BCBS
0600585 05 IA
institution
Provider Business Practice Location Address Details
Address
803 Broad St
City
State
Zip
50112-2153
Phone Number
641-236-7419
Fax Number
person
Provider Business Mailing Address Details
Address
803 Broad St
City
State
Zip
50112-2153
Phone Number
641-236-7419
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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