Individual
DR. MARC A. MOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141
Mailing address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47097
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35723
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400370
—
IA
05
—
1366499964
—
IA
05
—
34847600
—
WI
01
—
P01169442
RR MEDICARE
IA
Enumeration date
05/28/2006
Last updated
06/10/2013
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