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Individual

DR. STEVEN RICHARD MINDRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 363-8171
(319) 363-3172
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
37036
IA
208800000X
Urology Physician
66694
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0740613
IA
01
31068
WELLMARK BLUE CROSS/BLUE
IA
Enumeration date
06/03/2006
Last updated
08/25/2025
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