Jeannie M Waschow in Iron Mountain - Podiatrist
Jeannie M Waschow - NPI 1497739700
Jeannie M Waschow is a Podiatrist in Iron Mountain, Michigan. Jeannie M Waschow practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jeannie M Waschow is 1497739700. The last update date is 2018-12-21.
Jeannie M Waschow's current location address is 325 E H St, Iron Mountain, Michigan. You can contact this provider via phone number 9067743300 and fax number 9067793144. The mailing address for Jeannie M Waschow is 325 E H St, Iron Mountain, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannie M Waschow |
|---|---|
| Address | 325 E H St, Iron Mountain, Michigan |
| Phone Number | 9067743300 |
| Fax Number | 9067793144 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1497739700 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2018-12-21 |
Provider Mailing Address Detail
| Address | 325 E H St |
|---|---|
| City | Iron Mountain |
| State | Michigan (MI) |
| Post Code | 498014792 |
| Phone Number | 9067743300 |
| Fax Number | 9067793144 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004344 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00384162 | IL | MEDICARE RAILROAD |
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What is the unique identifier code issued to Jeannie M Waschow by the Centers for Medicare & Medicaid Services?
The Jeannie M Waschow has been assigned the NPI (National Provider Identifier) 1497739700. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeannie M Waschow located?
The Jeannie M Waschow is located at 325 E H St, Iron Mountain, MI 498014792.
What is Jeannie M Waschow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeannie M Waschow is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497739700 to Jeannie M Waschow?
The Jeannie M Waschow received its 1497739700 assignment from the Centers for Medicare & Medicaid Services on 2005-11-30.
As of what date were the details pertaining to Jeannie M Waschow last refreshed?
The information related to the Jeannie M Waschow, including its address, specialty, and other relevant details, was last updated on 2018-12-21.
NPI Number: 1881678860
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