# SIOUXLAND MEDICAL EDUCATION FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Practice Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336127828
- **Authorized official:** JOHN WERNER (OFFICE MANAGER)
- **Authorized official phone:** (712) 294-5000

## Contact information

- **Practice address:** 2501 PIERCE ST, SIOUX CITY, IA 51104-3725
- **Practice address phone:** (712) 294-5000
- **Practice address fax:** (712) 294-5091
- **Mailing address:** 2501 PIERCE ST, SIOUX CITY, IA 51104-3725
- **Mailing address phone:** (712) 294-5000
- **Mailing address fax:** (712) 294-5091

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 09/26/2007
