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Organization
KETTMAN PRANGER FAMILY MEDICINE, PLLC
Active
Organization
KETTMAN PRANGER FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J KETTMAN M.D. (OWNER)
(319) 236-7720
Entity
Organization
Contact information
Practice address
220 SOUTHBROOKE DR, WATERLOO, IA 50702-5802
(319) 236-7720
(319) 236-7739
Mailing address
PO BOX 658, WATERLOO, IA 50704-0658
(319) 236-7720
(319) 236-7739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33683
IA
Other
Enumeration date
05/12/2010
Last updated
08/13/2012
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