Individual
DR. SAMUEL JAMES RICKERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 6TH AVE, DE WITT, IA 52742-2041
(563) 357-6980
(563) 202-5307
Mailing address
121 6TH AVE, DE WITT, IA 52742-2041
(563) 357-6980
(563) 202-5307
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036102988
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-31160
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137570
—
IA
01
—
023235
HEALTH ALLIANCE
—
01
—
19351
MIDLANDS CHOICE
—
01
—
27198
IOWA HEALTH SOLUTIONS
—
01
—
55200
WELLMARK BC/BS
IA
01
—
IA0165
JOHN DEERE HEALTH
—
Enumeration date
05/20/2006
Last updated
12/10/2021
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