Individual
DR. DONALD RICHARD WIRTANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
202 N MADISON ST, BLOOMFIELD, IA 52537-1425
(641) 664-1400
(641) 664-1410
Mailing address
202 N MADISON ST, BLOOMFIELD, IA 52537-1425
(641) 664-1400
(641) 664-1410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184623985
MEDICARE
IA
05
—
1821295494
—
IA
05
—
242195006
—
MO
Enumeration date
07/14/2005
Last updated
06/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us