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NPI Code Detail

MEDICARE: MICHELLE JK MEIDLINGER

MEDICARE: MICHELLE JK MEIDLINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker086807IA

General Provider Information

NPI Number : 1164940136
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE JK MEIDLINGER
Provider Business Mailing Address
First Line : 5400 KIRKWOOD BLVD SW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52404-5216
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1916 WATERFRONT DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-4416
Country : US
Telephone Number : 319-337-4523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 08/30/2017

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Directions to “ MICHELLE JK MEIDLINGER ” Practice Location

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