Individual
DR. DAVID MARC TAN CRETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 HWY 30 E, DENISON, IA 51442-2139
(712) 263-6116
(712) 263-6115
Mailing address
95 MORNINGVIEW ST, DENISON, IA 51442-2237
(712) 263-6116
(712) 263-6115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18503
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222711
—
IA
Enumeration date
08/30/2005
Last updated
10/31/2011
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