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 |
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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