Individual
DIANE E. ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2769 HEARTLAND DR, SUITE 201, CORALVILLE, IA 52241-2732
(319) 337-3173
(319) 545-4570
Mailing address
2769 HEARTLAND DR, SUITE 201, CORALVILLE, IA 52241-2732
(319) 337-3173
(319) 545-4570
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30914
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147967
—
IA
01
—
58974
BC/BS
IA
01
—
990010245
RAILROAD
IA
Enumeration date
09/07/2005
Last updated
03/07/2023
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