Pruchno Medicine, Llc

NPI 1225433675 - Internal Medicine - 207R00000X

NPI Details
NPI 1225433675
Enumeration Date 10/28/2014
Last Updated 10/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHARLES J CHARLES
Position OWNER / PROVIDER
Phone (319) 247-3899
Fax
Practice Location
202 10TH ST SE
SUITE 200
CEDAR RAPIDS IA, 52403-2414, US
Phone (319) 247-3899
Fax
Business Location
PO BOX 1112
CEDAR RAPIDS IA, 52406-1112, US
Phone (319) 247-3899
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Iowa
License Number 27892
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According to our database, Pruchno Medicine, Llc NPI is 1225433675, taxonomy code is 207R00000X and license number is 27892, license state is located at Iowa. Pruchno Medicine, Llc physically located at 202 10th St Se, Cedar Rapids IA, 52403-2414. NPI Number 1033115704 has the healthcare provider type.

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1225433675 NPI number is provided on an as is basis without warranty of any kind. 1225433675 is maintained by the National Plan & Provider Enumeration System. The contents of Pruchno Medicine, Llc are for informational purposes only.