Organization
NORTHWEST IOWA SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J SLATTERY MD, FACS (PRESIDENT)
(712) 262-6320
Entity
Organization
Contact information
Practice address
1823 HIGHWAY BLVD STE 5, SPENCER, IA 51301-2226
(712) 262-6320
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415950
—
IA
Enumeration date
01/09/2006
Last updated
04/30/2018
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