Individual
SUSAN A BARCELLOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 N 12TH ST, GUTHRIE CENTER, IA 50115-1544
(641) 332-2201
(641) 332-2276
Mailing address
409 SILVERADO PT, WAUKEE, IA 50263-8150
(515) 987-0357
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E96747
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25708
WELLMARK
IA
05
—
3075879
—
IA
01
—
IA0122
JOHN DEERE
IA
Enumeration date
02/06/2006
Last updated
07/08/2007
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