Individual
DR. ANDREA STITGEN POLICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 247-3049
(319) 399-2036
Mailing address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2022018661
MO
207X00000X
Orthopaedic Surgery Physician
67099-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069439
—
WI
05
—
200110196
—
MO
Enumeration date
07/10/2012
Last updated
12/19/2023
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