Individual
WILLIAM L INGRAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35404
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110983
HEALTH ALLIANCE
—
01
—
242932
MIDLANDS CHOICE
—
01
—
39643
WELLMARK BC/BS
IA
05
—
6424713
—
IA
01
—
IA01B6
JOHN DEERE HEALTH
—
Enumeration date
01/12/2006
Last updated
03/15/2013
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