Donald R Wirtanen Do

LBN: Donald R Wirtanen Do
Donald R Wirtanen Do is an health care organization with primary practice located at 202 N Madison St , Bloomfield IA 52537-1425. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Donald R Wirtanen Do can be contacted via phone (641) 664-1400, or through Klum, Kelli L via phone (641) 664-1400.

Contact Information

Primary practice address
202 N Madison St Bloomfield IA 52537-1425
Phone: (641) 664-1400
Fax: (641) 664-1410
Website:
Map and Directions
Authorized official contact:
Name: Klum, Kelli L
Phone: (641) 664-1400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02100 Iowa

Profile Details

NPI number 1821295494
LBN Legal business name Donald R Wirtanen Do
DBA Doing business as
Authorized official Klum, Kelli L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Jun 4th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821295494 NPPES
Iowa MEDICAID 1821295494

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