Organization
NORTHEAST IOWA PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MANNING SOLOMON DPM (PRESIDENT)
(319) 234-2644
Entity
Organization
Contact information
Practice address
44 BROOKERIDGE DR, WATERLOO, IA 50701-5214
(319) 234-2644
(319) 234-4938
Mailing address
44 BROOKERIDGE DR, WATERLOO, IA 50701-5214
(319) 234-2644
(319) 234-4938
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00677
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208611
—
IA
01
—
1356387799
UNITED HEALTHCARE
IA
Enumeration date
06/22/2006
Last updated
09/23/2014
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