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Organization
NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
Active
Organization
NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EROMOSELE ANTHONY OTOADESE MD (OWNER)
(319) 233-3044
Entity
Organization
Contact information
Practice address
1753 W RIDGEWAY AVE STE 111, WATERLOO, IA 50701-4588
(319) 233-6211
Mailing address
PO BOX 2660, WATERLOO, IA 50704-2660
(319) 233-3044
(319) 233-0722
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28663
IA
Other
Enumeration date
12/03/2012
Last updated
04/29/2020
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