Healthcare Provider Details

I. General information

NPI: 1962026930
Provider Name (Legal Business Name): ADAM ERWOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 E MERLE HIBBS BLVD
MARSHALLTOWN IA
50158-1992
US

IV. Provider business mailing address

1215 DUFF AVE
AMES IA
50010-5469
US

V. Phone/Fax

Practice location:
  • Phone: 641-753-8616
  • Fax: 641-753-7456
Mailing address:
  • Phone: 515-239-4418
  • Fax: 515-956-4170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-57163
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: