Individual
DR. MARK A FELDKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1094 220TH ST, JESUP, IA 50648-9400
(319) 827-3000
(319) 827-2393
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03160
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4178616
—
IA
Enumeration date
06/06/2006
Last updated
07/19/2007
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