# MEDICAL ASSOCIATES OF MAQUOKETA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL ASSOCIATES OF MAQUOKETA PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598735961
- **Legal business name:** MEDICAL ASSOCIATES OF MAQUOKETA PC
- **Authorized official:** JENNIFER M ORR (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (563) 652-5145

## Contact information

- **Practice address:** 307 E WEBSTER ST, WYOMING, IA 52362
- **Practice address phone:** (563) 488-2297
- **Practice address fax:** (563) 488-3313
- **Mailing address:** PO BOX 58, 307 E WEBSTER ST, WYOMING, IA 52362-0058
- **Mailing address phone:** (563) 488-2297
- **Mailing address fax:** (563) 488-3313

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 09/13/2011