Individual
CLETE B YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 5TH AVE SE, SUITE 1400, CEDAR RAPIDS, IA 52403-2464
(319) 363-8121
(319) 365-1396
Mailing address
1030 5TH AVE SE, SUITE 1400, CEDAR RAPIDS, IA 52403-2464
(319) 363-8121
(319) 365-1396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39083
IA
207Q00000X
Family Medicine Physician
R-8608
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063647071
—
IA
01
—
P01090381
RR MEDICARE
IA
Enumeration date
05/19/2009
Last updated
11/19/2012
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