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Organization

TRIMARK PHYSICIANS GROUP INC

Active
Parent organization
TRINITY HEALTH SYSTEMS INC.
Other names
Trimark Physicians Group Inc - ARNP
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRINITY HEALTH SYSTEMS INC.
Authorized official
MICHAEL J DEWERFF (CFO)
(515) 574-6603
Entity
Organization

Contact information

Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 573-4141
Mailing address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 573-4141

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0424929
IA
Enumeration date
11/27/2006
Last updated
12/22/2010
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