Individual
BRIAN E. COUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 SENATE AVE STE 108, RED OAK, IA 51566-1271
(712) 623-7250
(712) 623-7257
Mailing address
1400 SENATE AVE STE 108, RED OAK, IA 51566-1271
(712) 623-7250
(712) 623-7257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33941
IA
207Q00000X
Family Medicine Physician
Primary
33941
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013904912
—
IA
05
—
47068731710
—
NE
Enumeration date
10/05/2005
Last updated
03/07/2024
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