Individual
DR. MARY SHARON PERAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Mailing address
115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19386
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130385
—
IA
01
—
13038
BCBS
IA
01
—
2313560
UNITED HEALTH CARE
IA
01
—
7882
MIDLANDS CHOICE
IA
Enumeration date
09/15/2005
Last updated
01/23/2008
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