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NPI Code Detail

MEDICARE: CHEST INFECTIOUS DISEASES AND CRITICAL CARE ASSOCIATES P C

MEDICARE: CHEST INFECTIOUS DISEASES AND CRITICAL CARE ASSOCIATES P C
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
1207RS0012XSleep Medicine (Internal Medicine) Physician
2207RI0200XInfectious Disease Physician
3207RP1001XPulmonary Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115616OTHERIAWELLMARK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114905759
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHEST INFECTIOUS DISEASES AND CRITICAL CARE ASSOCIATES P C
Provider Business Mailing Address
First Line : 1601 NW 114TH ST
Second Line : STE 347
City : DES MOINES
State : IA
Zip : 50325-7046
Country : US
Telephone Number : 515-224-1777
Fax Number : 515-225-6750
Provider Business Practice Location Address
First Line : 1601 NW 114TH ST
Second Line : STE 347
City : DES MOINES
State : IA
Zip : 50325-7046
Country : US
Telephone Number : 515-224-1777
Fax Number : 515-225-6750
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL C WITTE
Credential : MD
Telephone Number : 515-224-1777
Provider Enumeration Date : 01/04/2006
Last Update Date : 06/15/2016

Similar Medicare Providers

1225014228 — DR. STEVEN G BERRY MD
Practice Location Address:
1601 NW 114TH ST , STE 347
DES MOINES, IA
50325-7046
Practice Phone: 515-224-1777
Practice Fax: 515-222-0226
1780661108 — DR. DANIEL J SCHROEDER MD
Practice Location Address:
1601 NW 114TH ST , STE 347
DES MOINES, IA
50325-7046
Practice Phone: 515-224-1777
Practice Fax: 515-222-0226
1508844317 — DR. DONALD L BURROWS MD
Practice Location Address:
1601 NW 114TH ST , SUITE 347
DES MOINES, IA
50325-7046
Practice Phone: 515-224-1777
Practice Fax: 515-222-0226
1841278595 — DR. ROGER T LIU MD
Practice Location Address:
1601 NW 114TH ST , SUITE 347
DES MOINES, IA
50324-7046
Practice Phone: 515-224-1777
Practice Fax: 515-222-0226
1508255134 — JOHN L. GROENEVELD ARNP
Practice Location Address:
1601 NW 114TH ST , STE 347
DES MOINES, IA
50325-7046
Practice Phone: 515-224-1777
Practice Fax: 515-225-6750
1316923311 — DR. DANIEL H GERVICH MD
Practice Location Address:
1601 NW 114TH ST , STE 347
DES MOINES, IA
50325
Practice Phone: 515-224-1777
Practice Fax: 515-222-0226

Directions to “CHEST INFECTIOUS DISEASES AND CRITICAL CARE ASSOCIATES P C ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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