Individual
DR. DARREL RICHARD FORSLUND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1915 W 4TH ST, SPENCER, IA 51301-3006
(712) 262-5479
Mailing address
1915 W 4TH ST, SPENCER, IA 51301-3006
(712) 262-5479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27694
IA
207Q00000X
Family Medicine Physician
Primary
DR0061273
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4057745
—
IA
Enumeration date
06/04/2006
Last updated
09/27/2018
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