Healthcare Provider Details

I. General information

NPI: 1154311256
Provider Name (Legal Business Name): ERIC J STENBERG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 S 4TH AVE
MARSHALLTOWN IA
50158-2924
US

IV. Provider business mailing address

7365 30TH AVE
ATKINS IA
52206-9789
US

V. Phone/Fax

Practice location:
  • Phone: 641-754-5040
  • Fax:
Mailing address:
  • Phone: 319-446-6256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number02945
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO-02945
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: