Healthcare Provider Details

I. General information

NPI: 1619043007
Provider Name (Legal Business Name): KAREN R DREILING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 11/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 N CENTER POINT RD
HIAWATHA IA
52233-1231
US

IV. Provider business mailing address

1075 N CENTER POINT RD
HIAWATHA IA
52233-1231
US

V. Phone/Fax

Practice location:
  • Phone: 319-743-1440
  • Fax: 319-861-6768
Mailing address:
  • Phone: 319-743-1440
  • Fax: 319-861-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-41083
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: