# MERCY SPECIALTY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MercyOne DeWitt Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235793829
- **Authorized official:** APRIL JOAN GLAZIER (CLINIC MANAGER)
- **Authorized official phone:** (563) 244-7387

## Contact information

- **Practice address:** 1021 11TH ST, DE WITT, IA 52742-1209
- **Practice address phone:** (563) 659-9294
- **Practice address fax:** (563) 659-8104
- **Mailing address:** 621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
- **Mailing address phone:** (641) 428-3900
- **Mailing address fax:** (641) 428-3059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2019
- **Last updated:** 02/20/2020