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Individual

DR. EMILE C LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2700 1ST AVE S, SUITE 100, FORT DODGE, IA 50501-4300
(515) 955-6767
Mailing address
2700 1ST AVE S, SUITE 100, FORT DODGE, IA 50501-4300

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
30558
IA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
30558
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2123083
IA
01
2789
MIDLANDS
IA
01
35349
WELLMARK
IA
01
36166
WELLMARK
IA
05
8123083
IA
01
P00041348
RR MEDICARE
IA
Enumeration date
05/18/2006
Last updated
02/27/2017
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