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Organization
KID CARE, M.D., P.C.
Active
Organization
KID CARE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARINUS PIETER SPIERENBURG (OFFICE MANAGER)
(641) 792-6676
Entity
Organization
Contact information
Practice address
300 N 4TH AVE E STE 160, NEWTON, IA 50208-3122
(641) 792-6676
Mailing address
300 N 4TH AVE E STE 160, NEWTON, IA 50208-3122
(641) 792-6676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32610
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1181214
—
IA
01
—
28931
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/20/2007
Last updated
08/22/2020
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