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WAYNE LEROY VENTLING II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4150 KIMBALL AVENUE, WATERLOO, IA 50701
(219) 235-5390
(319) 233-1630
Mailing address
4150 KIMBALL AVENUE, CO CINDY SNELL CEDAR VALLEY MEDICAL SPECIALISTS, WATERLOO, IA 50701
(219) 235-5390
(319) 233-1630

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02747
IA

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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