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Individual

ERNEST MAYTUM BREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
417 S EAST ST, SUITE #100, CORYDON, IA 50060-1860
(641) 872-2063
(641) 872-2070
Mailing address
509 S WEST ST, CORYDON, IA 50060-1749
(641) 872-1602

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000754
IA

Other

Enumeration date
12/13/2005
Last updated
10/31/2011
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