Organization
CUNNINGHAM FAMILY HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL CUNNINGHAM D.O. (PROVIDER)
(712) 563-4611
Entity
Organization
Contact information
Practice address
515 PACIFIC AVE, SUITE 2, AUDUBON, IA 50025-1056
(712) 563-4611
(712) 563-2498
Mailing address
515 PACIFIC AVE, SUITE 2, AUDUBON, IA 50025-1056
(712) 563-4611
(712) 563-2498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0638692
—
IA
Enumeration date
03/09/2007
Last updated
02/23/2010
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