Healthcare Provider Details

I. General information

NPI: 1083233878
Provider Name (Legal Business Name): JOSEPH METZGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2020
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

IV. Provider business mailing address

4201 WESTOWN PKWY STE 236
WEST DES MOINES IA
50266-6720
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-6372
  • Fax:
Mailing address:
  • Phone: 515-401-1950
  • Fax: 515-401-1955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-52527
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: