Organization
DEVOTED CANCER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANYA H WIEDENHOFF (OWNER)
(563) 559-2767
Entity
Organization
Contact information
Practice address
600 S FIRST ST, CLINTON, IA 52732-4174
(563) 559-2767
(563) 559-2768
Mailing address
600 S FIRST ST, CLINTON, IA 52732-4174
(563) 559-2767
(563) 559-2768
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/26/2020
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