Organization
MADISON COUNTY MEDICAL ASSOC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN VINCENT DE REGNIER DO (PRESIDENT)
(515) 462-1162
Entity
Organization
Contact information
Practice address
60 E COURT AVE, WINTERSET, IA 50273-1517
(515) 462-1162
(515) 462-2331
Mailing address
PO BOX 192, WINTERSET, IA 50273-0192
(515) 462-1162
(515) 462-2331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02175
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269852
—
IA
01
—
26985
WELLMARK BCBS GROUP
IA
Enumeration date
10/23/2006
Last updated
01/30/2009
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