Organization
DAVID C. WENGER-KELLER, MD
Active
Other names
Southeast Iowa Family Medicine and Allergy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WENGER-KELLER MD (OWNER)
(319) 372-6280
Entity
Organization
Contact information
Practice address
5409 AVENUE O, SUITE 103, FORT MADISON, IA 52627-9601
(319) 372-6280
(319) 372-8119
Mailing address
5409 AVENUE O, SUITE 103, FORT MADISON, IA 52627-9601
(319) 372-6280
(319) 372-8119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298828
—
IA
05
—
0790337
—
IA
Enumeration date
03/28/2007
Last updated
06/17/2008
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