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Individual

SHERYL R PUDERBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CM, ARNP

Contact information

Practice address
321 EUCLID AVE, DES MOINES, IA 50313-4362
(515) 243-6408
(515) 243-0632
Mailing address
321 EUCLID AVE, DES MOINES, IA 50313-4362
(515) 243-6408
(515) 243-0632

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
B076817
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0200154
IA
01
22632
WELLMARK
IA
Enumeration date
02/17/2007
Last updated
07/09/2007
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