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NPI Code Detail

MEDICARE: MARIA DOLORES HERNANDEZ M.D.

MEDICARE: MARIA DOLORES HERNANDEZ M.D.
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
1207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianMD-43064IA
2207VX0000XObstetrics PhysicianMD-43064IA

General Provider Information

NPI Number : 1891960738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DOLORES HERNANDEZ M.D.
Provider Business Mailing Address
First Line : 405 S CLARK ST STE 100
Second Line : SUITE 100
City : CARROLL
State : IA
Zip : 51401-3047
Country : US
Telephone Number : 712-792-2222
Fax Number : 712-792-3875
Provider Business Practice Location Address
First Line : 405 S CLARK ST STE 100
Second Line :
City : CARROLL
State : IA
Zip : 51401-3047
Country : US
Telephone Number : 712-792-2222
Fax Number : 712-792-3875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 06/05/2026

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