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Organization

ON WITH LIFE, INC.

Active
Other names
On With
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN LUFT-WISKUS (CREDENTIALING)
(515) 289-9703
Entity
Organization

Contact information

Practice address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9662
(515) 289-9649
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9662
(515) 289-9649

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103T00000X
Psychologist
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0651638
IA
Enumeration date
06/22/2018
Last updated
09/18/2023
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