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Individual

DR. BRADLEY RUSSELL MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2301 HIGHWAY 71 STE C, SPIRIT LAKE, IA 51360-1184
(712) 336-3750
(712) 336-3730
Mailing address
2301 HIGHWAY 71 STE C, SPIRIT LAKE, IA 51360-1184
(712) 336-3750
(712) 336-3730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5262
NE
207Q00000X
Family Medicine Physician
Primary
DO-04161
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043207939
IA
Enumeration date
10/05/2005
Last updated
08/28/2020
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