Organization
ADEL FAMILY MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LOUISE DONAHUE DO (PRESIDENT AND CEO)
(515) 237-3974
Entity
Organization
Contact information
Practice address
1120 GREENE ST, ADEL, IA 50003-1712
(515) 993-4656
(515) 883-4532
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
363A00000X
Physician Assistant
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282764
—
IA
Enumeration date
05/23/2006
Last updated
06/11/2008
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