Individual
SETH R QUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1710
(515) 271-1726
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1710
(515) 271-1726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4116
IA
207Q00000X
Family Medicine Physician
R-8713
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467683565
—
IA
01
—
P01137878
RR MEDICARE
IA
Enumeration date
08/06/2009
Last updated
08/22/2024
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