Douglas Jae Miedema in Sibley - Family Medicine

Douglas Jae Miedema - NPI 1720080237

Douglas Jae Miedema is a Family Medicine in Sibley, Iowa. Douglas Jae Miedema practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas Jae Miedema is 1720080237. The last update date is 2013-07-01.

Douglas Jae Miedema's current location address is 600 9th Ave N, Sibley, Iowa. You can contact this provider via phone number 7127543658 and fax number 7127542634. The mailing address for Douglas Jae Miedema is 600 9th Ave N, Sibley, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Jae Miedema
Address 600 9th Ave N, Sibley, Iowa
Phone Number 7127543658
Fax Number 7127542634
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1720080237
Provider Enumeration Date 2005-08-15
Last Updated Date 2013-07-01

Provider Mailing Address Detail

Address 600 9th Ave N
City Sibley
State Iowa (IA)
Post Code 512491012
Phone Number 7127543658
Fax Number 7127542634

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2364
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
537072800 MN --
2049429 IA --
167177 IA HOME HEALTH MEDICARE
115478 MN UCARE

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FAQs about Douglas Jae Miedema

What is the unique identifier code issued to Douglas Jae Miedema by the Centers for Medicare & Medicaid Services?

The Douglas Jae Miedema has been assigned the NPI (National Provider Identifier) 1720080237. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Douglas Jae Miedema is physically located?

The Douglas Jae Miedema is physically situated at the following address: 600 9Th Ave N, Sibley, IA, 512491012.

What is the Douglas Jae Miedema's specialty and taxonomy code?

The Douglas Jae Miedema's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Douglas Jae Miedema receive its 1720080237 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Jae Miedema was assigned its 1720080237 by the Centers for Medicare & Medicaid Services on 2005-08-15.

When was the information regarding Douglas Jae Miedema most recently updated?

The details pertaining to the Douglas Jae Miedema, including its address, specialty, and other relevant information, were last refreshed on 2013-07-01.

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