DR. DAVID C WENGER-KELLER MD

Allergy and Immunology

Fort Madison, Iowa

Provider NPI: 1538157383

Provider Information:
DR. DAVID C WENGER-KELLER MD


Practice Location:
5409 AVENUE O  FORT MADISON, IA 52627 US
Tel: 319-376-2134  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	IL	036113262
N	207K00000X	Physicians Allergy & Immunology	OH	35043843W
Y	207Q00000X	Physicians Family Medicine	IA	25663

Other Provider Identifiers:

Issuer	Number	State	Type
	0240663	IA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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