# SOUTHERN IOWA GENERAL MEDICINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043417637
- **Authorized official:** DR. CARL ROLESON DO (PRESIDENT CEO)
- **Authorized official phone:** (515) 237-3974

## Contact information

- **Practice address:** 105 E MCLANE ST, SUITE 400, OSCEOLA, IA 50213-1456
- **Practice address phone:** (641) 342-6337
- **Practice address fax:** (641) 342-6339
- **Mailing address:** 2213 GRAND AVE, DES MOINES, IA 50312-5305
- **Mailing address phone:** (515) 237-3974
- **Mailing address fax:** (515) 883-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02987 | IA | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 10/29/2007