Organization
MMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN SQUIERS (PROVIDER)
(319) 646-2800
Entity
Organization
Contact information
Practice address
217 8TH AVE, SUITE 3, WELLMAN, IA 52356-4708
(319) 646-2800
Mailing address
PO BOX 390, WELLMAN, IA 52356-0390
(319) 646-2800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
08/10/2012
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