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Individual

KELLI ELIZABETH WOLTEMATH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1219 MAIN ST, HAMBURG, IA 51640-1300
(712) 382-2626
(712) 382-1931
Mailing address
1219 MAIN ST, HAMBURG, IA 51640-1300
(712) 382-2626
(712) 382-1931

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02407
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062356
IA
01
29447
WELLMARK BC/BS OF IA
IA
Enumeration date
02/07/2006
Last updated
07/08/2007
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