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NPI Code Detail

MEDICARE: SAMUEL A WHITTIER MD

MEDICARE:   SAMUEL A WHITTIER  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
1207W00000XOphthalmology PhysicianMD-53930IA
2207W00000XOphthalmology Physician9029-851WI

General Provider Information

NPI Number : 1952979957
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL A WHITTIER MD
Provider Business Mailing Address
First Line : 309 E CHURCH ST
Second Line :
City : MARSHALLTOWN
State : IA
Zip : 50158-2919
Country : US
Telephone Number : 800-542-7956
Fax Number :
Provider Business Practice Location Address
First Line : 2020 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8772
Country : US
Telephone Number : 515-232-2450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 09/03/2025

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Directions to “ SAMUEL A WHITTIER MD” Practice Location

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