Individual
FRED GOLDBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2996 7TH AVE, SUITE B, MARION, IA 52302-3713
(319) 377-4844
(319) 377-0852
Mailing address
2996 7TH AVE, SUITE B, MARION, IA 52302-3713
(319) 377-4844
(319) 377-0852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02020
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427046614
—
IA
01
—
P01270525
RR MEDICARE
IA
Enumeration date
10/11/2005
Last updated
03/19/2014
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