Individual
SCOTT OELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
40 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 216-2918
Mailing address
40 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 216-2918
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO-4496
IA
208000000X
Pediatrics Physician
R-9235
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356637763
—
IA
01
—
P01353144
RR MEDICARE
IA
Enumeration date
06/23/2011
Last updated
10/13/2014
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