Individual
DR. YOGESH VINOD KOLWADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MRCSED,MS,MCH
Contact information
Practice address
20 W 6TH ST, SUITE 1, SPENCER, IA 51301-3901
(712) 580-2022
Mailing address
20 W 6TH ST, SUITE 1, SPENCER, IA 51301-3901
(712) 580-2022
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-36668
KS
207X00000X
Orthopaedic Surgery Physician
MD-42289
IA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
125.059018
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MT202820
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I113010004
MEDICARE
IA
Enumeration date
08/10/2011
Last updated
03/02/2018
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