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Organization
TEAMMD IOWA, INC.
Active
Organization
TEAMMD IOWA, INC.
Active
Parent organization
TEAMMD HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEAMMD HOLDINGS, INC.
Authorized official
BROR O HULTGREN (CEO)
(952) 936-6125
Entity
Organization
Contact information
Practice address
6500 UNIVERSITY AVE, DES MOINES, IA 50324-1607
(952) 936-6125
Mailing address
6500 UNIVERSITY AVE, DES MOINES, IA 50324-1607
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/13/2015
Last updated
11/16/2015
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