Individual
MICHAEL DAVID VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1202 W HOWARD ST, KNOXVILLE, IA 50138-3103
(641) 828-7211
(641) 842-7030
Mailing address
1202 W HOWARD ST, KNOXVILLE, IA 50138-3103
(641) 828-7211
(641) 842-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02160
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039552
—
IA
05
—
3039552
—
IA
01
—
36316
WELLMARK BC&BS IA
IA
01
—
45044
WELLMARK BC&BS IA
IA
Enumeration date
08/01/2006
Last updated
01/07/2014
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