Individual
DR. KEITH L. PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
926 N 8TH ST, ESTHERVILLE, IA 51334-1300
(712) 362-6501
(712) 362-7190
Mailing address
926 N 8TH ST, ESTHERVILLE, IA 51334-1300
(712) 362-6501
(712) 362-7190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26398
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037945
—
IA
01
—
080116345
RAILROAD MEDICARE
IA
Enumeration date
05/13/2006
Last updated
02/06/2013
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