Organization
TEAMMD PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND S KELLER (CFO)
(651) 324-0266
Entity
Organization
Contact information
Practice address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Mailing address
6500 UNIVERSITY AVE, SUITE 100, DES MOINES, IA 50324-1607
(515) 279-1959
(515) 289-0888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255620
—
IA
01
—
CJ7349
RAILROAD MEDICARE
IA
Enumeration date
05/18/2006
Last updated
09/26/2019
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