MEDICARE: DR. JANET M MERFELD MD

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	2085R0001X	Radiation Oncology Physician	29948	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	:	1639165087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET M MERFELD MD

Provider Business Mailing Address
First Line	:	PO BOX 145
Second Line	:
City	:	HIAWATHA
State	:	IA
Zip	:	52233-0145
Country	:	US
Telephone Number	:	319-826-3763
Fax Number	:	319-826-3766

Provider Business Practice Location Address
First Line	:	701 10TH SEST
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-1251
Country	:	US
Telephone Number	:	319-398-6180
Fax Number	:	319-398-6708

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	06/07/2017

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