Organization
TEAMMD IOWA, INC.
Active
Parent organization
TEAMMD HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEAMMD HOLDINGS, INC.
Authorized official
BROR O HULTGREN (CEO)
(952) 936-6125
Entity
Organization
Contact information
Practice address
6500 UNIVERSITY AVE, DES MOINES, IA 50324-1607
(952) 936-6125
Mailing address
6500 UNIVERSITY AVE, DES MOINES, IA 50324-1607
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/13/2015
Last updated
11/16/2015
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