Organization
VETERANS MEMORIAL HOSPITAL CITY OF WAUKON IA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F COYLE (CEO)
(563) 568-3411
Entity
Organization
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-3411
(563) 568-5699
Mailing address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-3411
(563) 568-5699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025197
—
IA
01
—
02519
BLUE SHIELD
IA
Enumeration date
03/09/2007
Last updated
07/27/2023
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