MEDICARE: JOHN J FINNERAN MD PC

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	207Q00000X	Family Medicine Physician	19035	IA

Other Identifiers

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

General Provider Information

NPI Number	:	1194923052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN J FINNERAN MD PC

Provider Business Mailing Address
First Line	:	202 N MADISON ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1425
Country	:	US
Telephone Number	:	641-664-1400
Fax Number	:	641-664-1410

Provider Business Practice Location Address
First Line	:	202 N MADISON ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1425
Country	:	US
Telephone Number	:	641-664-1400
Fax Number	:	641-664-1410

Authorized Official
Title or Position	:	INSURANCE MANAGER
Name	:	KELLI L KLUM
Credential	:
Telephone Number	:	641-664-1400

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	01/23/2008

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