Healthcare Provider Details

I. General information

NPI: 1487530424
Provider Name (Legal Business Name): WRESTLING WITH MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 OAK RD
HARLAN IA
51537-5512
US

IV. Provider business mailing address

905 OAK RD
HARLAN IA
51537-5512
US

V. Phone/Fax

Practice location:
  • Phone: 515-783-4248
  • Fax:
Mailing address:
  • Phone: 515-783-4248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BENDORF
Title or Position: OWNER
Credential:
Phone: 515-783-4248