Healthcare Provider Details

I. General information

NPI: 1447202692
Provider Name (Legal Business Name): ANKE BELLINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 SAINT FRANCIS DR STE 419
WATERLOO IA
50702-5634
US

IV. Provider business mailing address

2710 SAINT FRANCIS DR STE 419
WATERLOO IA
50702-5634
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-5000
  • Fax: 319-272-6724
Mailing address:
  • Phone: 319-272-5000
  • Fax: 319-272-6724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number36217
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number36217
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: