=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326336397
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIAN DAVID HUNZIKER DPM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2011
-----------------------------------------------------
Last Update Date | 05/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 80 E HICKMAN RD
-----------------------------------------------------
City | WAUKEE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50263-5011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-348-1977
-----------------------------------------------------
Fax | 515-348-1976
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 80 E HICKMAN RD
-----------------------------------------------------
City | WAUKEE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50263-5011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-348-1977
-----------------------------------------------------
Fax | 515-348-1976
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | 079723
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------