Organization
FAMILY MEDICINE AND MORE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A GUNNETT MD, PHD (OWNER/MANAGER)
(319) 826-6773
Entity
Organization
Contact information
Practice address
1350 BOYSON RD, BLDG C, HIAWATHA, IA 52233-2211
(319) 826-6773
(319) 826-6775
Mailing address
1350 BOYSON RD, BLDG C, HIAWATHA, IA 52233-2211
(319) 826-6773
(319) 826-6775
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
37419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215345905
—
IA
01
—
DW1549
RR MEDICARE PROVIDER NUMBER
IA
Enumeration date
07/26/2014
Last updated
02/22/2016
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