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NPI Code Detail

MEDICARE: BRIAN C MEHLHAUS MD

MEDICARE: BRIAN C MEHLHAUS 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
1207Q00000XFamily Medicine PhysicianMD-28190IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080105650OTHERIARR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1740268002
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN C MEHLHAUS MD
Provider Business Mailing Address
First Line : 120 S STORY ST
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-4444
Fax Number : 515-432-1331
Provider Business Practice Location Address
First Line : 120 S STORY ST
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-4444
Fax Number : 515-432-1331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 02/27/2015

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Directions to “ BRIAN C MEHLHAUS MD” Practice Location

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