Organization
KURT R. VANDER PLOEG, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT RONALD VANDER PLOEG M.D. (PRESIDENT OF CORPORATION)
(641) 628-2222
Entity
Organization
Contact information
Practice address
615 WASHINGTON ST, PELLA, IA 50219-1538
(641) 628-2222
(641) 628-2915
Mailing address
615 WASHINGTON ST, PELLA, IA 50219-1538
(641) 628-2222
(641) 628-2915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317687
—
IA
01
—
13768
WELLMARK BCBS NUMBER
IA
01
—
17726
MIDLAND'S CHOICE PROVIDER
IA
Enumeration date
08/10/2006
Last updated
03/07/2023
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