MEDICARE: STEVEN M UDELHOFEN DO

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	208600000X	Surgery Physician	FU6195413	OH
2	208600000X	Surgery Physician	DO-05110	IA
3	208600000X	Surgery Physician	FU6195413	NE
4	208600000X	Surgery Physician	FU6556584	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DO-05110	OTHER	IA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1457581308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN M UDELHOFEN DO

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-688-7880
Fax Number	:	319-688-7881

Provider Business Practice Location Address
First Line	:	540 E JEFFERSON ST STE 205
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2479
Country	:	US
Telephone Number	:	319-688-7880
Fax Number	:	319-688-7881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	01/21/2026

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Directions to “ STEVEN M UDELHOFEN DO” Practice Location

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