MEDICARE: MSB MEDICAL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1093648859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MSB MEDICAL, PLLC

Provider Business Mailing Address
First Line	:	1405 NW MAPLE ST
Second Line	:
City	:	ANKENY
State	:	IA
Zip	:	50023-4266
Country	:	US
Telephone Number	:	515-293-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1952 MCDOWELL RD STE 205
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-6506
Country	:	US
Telephone Number	:	630-864-6906
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM MORRIS
Credential	:
Telephone Number	:	515-205-6021

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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