MEDICARE: KIMBERLY A VERSTEEG D.O.

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	207V00000X	Obstetrics & Gynecology Physician	3547	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	:	1790763043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A VERSTEEG D.O.

Provider Business Mailing Address
First Line	:	1400 HWY 71
Second Line	:
City	:	INTERNATIONAL FALLS
State	:	MN
Zip	:	56649
Country	:	US
Telephone Number	:	218-283-5503
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 HIGHWAY 71
Second Line	:
City	:	INTERNATIONAL FALLS
State	:	MN
Zip	:	56649-5956
Country	:	US
Telephone Number	:	218-283-5503
Fax Number	:

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	02/06/2018

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Directions to “ KIMBERLY A VERSTEEG D.O.” Practice Location

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