Individual
ERIC F OPHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
606 E 1ST ST, GRUNDY CENTER, IA 50638-2046
(319) 824-6945
(319) 824-6947
Mailing address
606 E 1ST ST, GRUNDY CENTER, IA 50638-2046
(319) 824-6945
(319) 824-6947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03462
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4239582
—
IA
05
—
5239582
—
IA
01
—
P00174839
RR MEDICARE
IA
Enumeration date
01/10/2006
Last updated
10/22/2007
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