Healthcare Provider Details

I. General information

NPI: 1689887416
Provider Name (Legal Business Name): CARL ANSELM MEYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 30TH ST
DES MOINES IA
50310-5753
US

IV. Provider business mailing address

3600 30TH ST
DES MOINES IA
50310-5753
US

V. Phone/Fax

Practice location:
  • Phone: 515-699-5904
  • Fax: 515-699-5905
Mailing address:
  • Phone: 515-699-5904
  • Fax: 515-699-5905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD-37168
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: